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General NPI Number Information
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NPI Number | 1376894485
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Entity Type | Individual
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Provider Name | JENNIFER KINSEY MSW
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Gender | Female
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 30 MIRONA ROAD EXT STE 3
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5385
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Country | US
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Telephone | 603-770-0567
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Fax | 603-766-3141
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Provider Business Mailing Address
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Address Line | PO BOX 688
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City | STRATHAM
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State | NH
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Zip | 03885-0688
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Country | US
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Telephone | 603-770-0567
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Fax | 603-766-3141
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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 | 1674
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License Number State | NH
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