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General NPI Number Information
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NPI Number | 1952918674
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Entity Type | Individual
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Provider Name | JENNIFER LYNN MCCOMBS MSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2020
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 300 CENTURY PARK S STE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3924
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Country | US
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Telephone | 205-807-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 925 UTICA PL
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City | BIRMINGHAM
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State | AL
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Zip | 35224-1559
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Country | US
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Telephone | 205-807-5345
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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 | 1051-1206C
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License Number State | AL
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