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General NPI Number Information
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NPI Number | 1649617648
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Entity Type | Individual
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Provider Name | JADE NATALIA PAS-JENSEN LISW-S
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 25701 N LAKELAND BLVD STE 403
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City | EUCLID
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State | OH
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Zip | 44132-2453
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Country | US
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Telephone | 216-273-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 3722 SPOKANE AVE
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City | CLEVELAND
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State | OH
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Zip | 44109-3830
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Country | US
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Telephone | 216-210-4859
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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 | I.1500997-SUPV
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License Number State | OH
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