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General NPI Number Information
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NPI Number | 1801389101
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Entity Type | Individual
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Provider Name | DONNA JURNEY LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 8131 RITCHIE HWY
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City | PASADENA
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State | MD
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Zip | 21122
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Country | US
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Telephone | 410-360-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 406 STEWART AVE
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City | ARNOLD
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State | MD
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Zip | 21012-1150
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Country | US
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Telephone | 443-995-1298
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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 | 06519
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License Number State | MD
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