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General NPI Number Information
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NPI Number | 1437047503
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Entity Type | Individual
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Provider Name | JENA HASSERT LSW
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 8606 ALLISONVILLE RD STE 120
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-3585
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Country | US
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Telephone | 317-647-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 17152 BLUFF RD
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City | LEMONT
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State | IL
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Zip | 60439-9502
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33013045A
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License Number State | IN
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