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General NPI Number Information
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NPI Number | 1376451302
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Entity Type | Individual
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Provider Name | JENA LOUISE POWLEY
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 671 EXCHANGE ST
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City | GENEVA
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State | NY
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Zip | 14456-3498
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Country | US
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Telephone | 315-789-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 5044 BUTLER RD
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2709
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 130549
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License Number State | NY
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