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General NPI Number Information
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NPI Number | 1780334037
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Entity Type | Individual
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Provider Name | JADE MORGAN POCOCK
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 203 S WASHINGTON AVE STE 310
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City | SAGINAW
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State | MI
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Zip | 48607-1215
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Country | US
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Telephone | 989-793-4790
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Fax |
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Provider Business Mailing Address
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Address Line | 4214 HARBOUR TOWNE DR APT 2
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City | SAGINAW
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State | MI
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Zip | 48603-1439
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Country | US
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Telephone | 989-492-6753
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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 | 374700000X
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Taxonomy Name | Technician
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851116570
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License Number State | MI
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