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General NPI Number Information
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NPI Number | 1740424753
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Entity Type | Individual
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Provider Name | JENNIFER A SCOTT MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 7950 N PORT WASHINGTON RD
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City | FOX POINT
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State | WI
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Zip | 53217-3131
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Country | US
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Telephone | 414-253-1194
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Fax | 414-540-1065
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Provider Business Mailing Address
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Address Line | 9000 W WISCONSIN AVE # MS 958
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City | MILWAUKEE
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State | WI
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Zip | 53226-4874
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Country | US
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Telephone | 414-266-7615
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Fax | 414-266-6238
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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 | 7616-123
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License Number State | WI
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