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General NPI Number Information
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NPI Number | 1508416868
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Entity Type | Individual
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Provider Name | JENNIFER L DONOVAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 341 W MAIN ST
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City | CATSKILL
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State | NY
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Zip | 12414-1621
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Country | US
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Telephone | 518-719-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 311 MANSION ST
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City | WEST COXSACKIE
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State | NY
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Zip | 12192-9709
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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 | 102692
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 092265
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License Number State | NY
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