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General NPI Number Information
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NPI Number | 1316899156
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Entity Type | Individual
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Provider Name | JODI BOSIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2055 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-3832
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Country | US
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Telephone | 215-427-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 LOCUST ST APT 3
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City | PHILADELPHIA
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State | PA
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Zip | 19139-4515
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Country | US
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Telephone | 610-613-1322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CW026092
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License Number State | PA
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