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General NPI Number Information
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NPI Number | 1891632469
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Entity Type | Individual
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Provider Name | JENNIFER R SANSON LISW-S, CCM
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 6000 LOMBARDO CTR STE 200
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City | SEVEN HILLS
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State | OH
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Zip | 44131-6907
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Country | US
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Telephone | 513-342-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 456 PELLETT DR
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City | BAY VILLAGE
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State | OH
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Zip | 44140-1648
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Country | US
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Telephone | 513-342-2070
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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 | I.2203690-SUPV
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License Number State | OH
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