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General NPI Number Information
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NPI Number | 1659036945
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Entity Type | Individual
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Provider Name | JARED MOWERY LMSW
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Gender | Male
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1356 SCENIC HILLS DR
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City | MCKINNEY
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State | TX
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Zip | 75071-4660
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Country | US
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Telephone | 817-304-8848
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 US HIGHWAY 380 STE 500
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City | FRISCO
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State | TX
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Zip | 75033-0176
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Country | US
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Telephone |
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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 | 68259
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License Number State | TX
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