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General NPI Number Information
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NPI Number | 1871972273
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Entity Type | Individual
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Provider Name | JENNIFER AMI
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Gender | Female
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 14145 N 92ND ST UNIT 1162
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-7716
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Country | US
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Telephone | 847-975-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 15029 N THOMPSON PEAK PKWY # B-111515
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2217
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Country | US
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Telephone | 623-777-9518
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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 | 11532
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License Number State | LA
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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 |
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License Number State |
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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 | 11532
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20012
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License Number State | AZ
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