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General NPI Number Information
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NPI Number | 1871667568
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Entity Type | Individual
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Provider Name | JENNIFER S HIDROBO LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 429 N SAN ANTONIO RD
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1399
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Country | US
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Telephone | 805-884-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 HIGHWAY 154
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City | SANTA BARBARA
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State | CA
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Zip | 93105-9797
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Country | US
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Telephone | 805-884-1681
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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 | 626
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 28042
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW64874
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License Number State | CA
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