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General NPI Number Information
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NPI Number | 1356112916
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Entity Type | Individual
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Provider Name | JASMINE N KEY
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Gender | Female
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 830 GLENWOOD AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1966
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Country | US
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Telephone | 404-445-5744
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Fax |
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Provider Business Mailing Address
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Address Line | 5685 STONELEIGH HILL CT
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City | LITHONIA
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State | GA
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Zip | 30058-5644
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Country | US
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Telephone | 770-885-2674
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MSW011447
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License Number State | GA
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