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General NPI Number Information
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NPI Number | 1548748312
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Entity Type | Organization
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Legal Business Name | JANE O. ORTON, LICSW, LLC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 120 HOLMES AVE NE
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-797-6623
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Fax |
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Provider Business Mailing Address
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Address Line | 718 TANNAHILL DR. SE
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City | HUNTSVILLE
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State | AL
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Zip | 35802-1954
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Country | US
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Telephone | 256-797-6623
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Fax |
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Authorized Official
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Title or Position | CEO/PSYCHOTHERAPIST
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Name | MRS. JANE O. ORTON
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Credential | LICSW
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Telephone | 256-797-6623
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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 | 1422C
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License Number State | AL
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