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General NPI Number Information
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NPI Number | 1821867169
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Entity Type | Individual
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Provider Name | JESSICA NESBITT JAMERSON
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Gender | Female
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 1710A RICHLAND ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2636
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Country | US
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Telephone | 803-765-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 616 WINDING HICKORY CT
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-8008
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Country | US
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Telephone | 803-427-0332
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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 | 15581
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License Number State | SC
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