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General NPI Number Information
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NPI Number | 1417973439
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Entity Type | Individual
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Provider Name | JEAN BENZE SCHLICHTER MSW LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 500 E PLUME ST STE 205
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City | NORFOLK
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State | VA
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Zip | 23510-2325
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Country | US
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Telephone | 757-828-1640
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Fax | 757-210-3905
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Provider Business Mailing Address
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Address Line | 6275 E VIRGINIA BEACH BLVD STE 300
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City | NORFOLK
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State | VA
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Zip | 23502-2851
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Country | US
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Telephone | 757-961-0606
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Fax | 757-233-8499
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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 | 0904000409
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License Number State | VA
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