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General NPI Number Information
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NPI Number | 1750837050
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Entity Type | Individual
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Provider Name | JENNIFER BILLIARD MSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 11209 N TATUM BLVD #260
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City | PHOENIX
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State | AZ
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Zip | 85028-6025
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Country | US
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Telephone | 602-494-6800
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Fax | 602-494-6803
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Provider Business Mailing Address
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Address Line | PO BOX 6423
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City | CHANDLER
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State | AZ
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Zip | 85246-6423
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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 |
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License Number State |
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