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General NPI Number Information
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NPI Number | 1386122547
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Entity Type | Organization
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Legal Business Name | THERAPY BY JENNY, LLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 7500 OLD MILITARY RD NE
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City | BREMERTON
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State | WA
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Zip | 98311-3241
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Country | US
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Telephone | 360-698-9258
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Fax | 360-698-9296
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Provider Business Mailing Address
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Address Line | 10441 LEEWAY AVE NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8805
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Country | US
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Telephone | 206-377-9082
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNY BERRY
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Credential | LICSW
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Telephone | 206-377-9082
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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 |
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License Number State |
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