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General NPI Number Information
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NPI Number | 1912448549
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Entity Type | Individual
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Provider Name | JENNIFER HART DEBOY LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 701 BESTGATE RD
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2117
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Country | US
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Telephone | 443-906-3506
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Fax |
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Provider Business Mailing Address
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Address Line | 1246 ROSSBACK RD
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035-1122
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Country | US
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Telephone | 443-216-9561
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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 | 19711
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License Number State | MD
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