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General NPI Number Information
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NPI Number | 1396355772
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Entity Type | Individual
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Provider Name | JOSEFINA AURORA REIGN MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1901 CHICAGO ST
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City | VALPARAISO
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State | IN
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Zip | 46383-5219
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Country | US
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Telephone | 630-973-0226
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 CHICAGO ST
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City | VALPARAISO
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State | IN
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Zip | 46383-5219
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Country | US
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Telephone | 630-973-0226
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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 | 29233
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34010860A
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License Number State | IN
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