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General NPI Number Information
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NPI Number | 1619773884
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Entity Type | Individual
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Provider Name | JESSICA ANN STEIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1037 CHUCK DAWLEY BLVD STE 209-D
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-4146
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Country | US
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Telephone | 843-352-8667
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Fax |
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Provider Business Mailing Address
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Address Line | 733 GINGLIS WAY
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-7748
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Country | US
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Telephone | 516-661-2821
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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 | TPIC355
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15422
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License Number State | SC
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