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General NPI Number Information
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NPI Number | 1467747261
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Entity Type | Individual
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Provider Name | JENNIFER LYNN PERFECT LSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 9600 VETERANS DR A-123-SW-BLUE
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City | TACOMA
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State | WA
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Zip | 98493-0001
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Country | US
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Telephone | 253-583-1476
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Fax |
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Provider Business Mailing Address
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Address Line | 2521 CLIFFSIDE LN NW N203
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City | GIG HARBOR
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State | WA
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Zip | 98335-1562
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Country | US
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Telephone | 773-616-4946
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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 | 150.011319
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License Number State | IL
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