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General NPI Number Information
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NPI Number | 1659316024
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Entity Type | Individual
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Provider Name | JILL FISCHER-PETERS L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 13800 PARK BLVD STE 206
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City | SEMINOLE
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State | FL
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Zip | 33776-3439
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Country | US
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Telephone | 727-391-9800
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Fax | 727-391-9882
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Provider Business Mailing Address
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Address Line | 13800 PARK BLVD STE 206
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City | SEMINOLE
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State | FL
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Zip | 33776-3439
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Country | US
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Telephone | 727-391-9800
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Fax | 727-391-9882
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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 | SW7731
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License Number State | FL
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