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General NPI Number Information
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NPI Number | 1538729660
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Entity Type | Individual
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Provider Name | JASMINE JUDITH PEREZ JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 181 FRANKLIN HEALTH CMNS
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City | FARMINGTON
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State | ME
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Zip | 04938-6144
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Country | US
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Telephone | 207-778-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 181 FRANKLIN HEALTH CMNS
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City | FARMINGTON
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State | ME
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Zip | 04938-6144
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Country | US
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Telephone | 207-778-6394
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW03578
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW02553
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 232757
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW124910
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC23261
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License Number State | ME
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