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NPI 1336506930

NPI 1336506930 : JENNIFER G SCHLEINKOFER LCSW LLC : LOVELAND, CO

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General NPI Number Information
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    NPI Number           |    1336506930
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    Entity Type          |    Organization 
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    Legal Business Name  |    JENNIFER G SCHLEINKOFER LCSW LLC 
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Dates
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    Enumeration Date     |    01/27/2016
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    Last Update Date     |    01/27/2016
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Provider Practice Location Address
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    Address Line         |    1762 HOFFMAN DR 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80538-4292
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    Country              |    US
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    Telephone            |    970-541-1006
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1762 HOFFMAN DR 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80538-4292
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    Country              |    US
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    Telephone            |    970-541-1006
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JENNIFER G SCHLEINKOFER 
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    Credential           |    LCSW
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    Telephone            |    970-541-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    00000909
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    License Number State |    CO
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