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General NPI Number Information
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NPI Number | 1669773552
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Entity Type | Individual
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Provider Name | JIHAN S WARD LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 186 BEDFORD ST
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City | LEXINGTON
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State | MA
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Zip | 02420-4436
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Country | US
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Telephone | 603-858-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MAIN STREET 3
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City | HAVERHILL
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State | MA
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Zip | 01832
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Country | US
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Telephone | 603-858-4603
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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 |
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License Number State |
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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 | 218262
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License Number State | MA
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