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General NPI Number Information
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NPI Number | 1386700870
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Entity Type | Individual
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Provider Name | JANE NOLAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 440
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2217
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Country | US
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Telephone | 609-338-8835
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Fax | 609-926-1041
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Provider Business Mailing Address
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Address Line | 231 CYPRESS POINT DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7158
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Country | US
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Telephone | 609-338-8835
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Fax | 609-926-1041
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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 | 44SC00295200
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License Number State | NJ
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