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General NPI Number Information
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NPI Number | 1609547140
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Entity Type | Individual
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Provider Name | KENDL N JENNINGS
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 320 PLEASANT AVE
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City | NEW YORK
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State | NY
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Zip | 10035-4411
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Country | US
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Telephone | 917-456-7953
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Fax |
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Provider Business Mailing Address
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Address Line | 444 2ND AVE APT 33D
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City | NEW YORK
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State | NY
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Zip | 10010-2529
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Country | US
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Telephone | 917-891-1359
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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 | 113771-01
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License Number State | NY
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