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General NPI Number Information
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NPI Number | 1447731872
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Entity Type | Organization
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Legal Business Name | JENNIFER HIPPIE LCSW, LCAC
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 5 WASHINGTON ST STE 250
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City | VALPARAISO
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State | IN
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Zip | 46383-4769
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Country | US
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Telephone | 219-405-0250
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Fax | 219-464-8819
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Provider Business Mailing Address
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Address Line | 523 W 100 N
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City | VALPARAISO
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State | IN
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Zip | 46385-9232
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Country | US
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Telephone | 219-405-0250
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Fax | 219-464-8819
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | JENNIFER L HIPPIE
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Credential | LCSW, LCAC
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Telephone | 219-405-0250
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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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