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General NPI Number Information
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NPI Number | 1588056410
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Entity Type | Individual
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Provider Name | ANDREA CENNINGTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 9092 RALLY SPRING LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-2324
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Country | US
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Telephone | 352-549-0932
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Fax |
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Provider Business Mailing Address
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Address Line | 9092 RALLY SPRING LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-2324
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Country | US
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Telephone | 352-549-0932
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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 | L137676
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License Number State | OR
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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 | C009578
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License Number State | NC
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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 | 097291006
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License Number State | VA
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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 | 09929128
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License Number State | CO
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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 | 27671
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW19787
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002442
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License Number State | DC
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