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General NPI Number Information
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NPI Number | 1588345102
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Entity Type | Individual
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Provider Name | JENNIFER MARIE PERRY LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 5400 W 149TH PL UNIT 12
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City | HAWTHORNE
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State | CA
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Zip | 90250
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Country | US
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Telephone | 213-435-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 2851 W 120TH ST STE E #115
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City | HAWTHORNE
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State | CA
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Zip | 90250-3396
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Country | US
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Telephone | 213-435-9216
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 74445
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 74445
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License Number State | CA
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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 | 74445
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License Number State | CA
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