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General NPI Number Information
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NPI Number | 1962824706
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Entity Type | Individual
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Provider Name | JENNIFER JEAN MONTGOMERY NOBLET MSW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 245 W GREENS RD
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City | HOUSTON
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State | TX
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Zip | 77067-4603
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Country | US
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Telephone | 713-486-5600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 301173
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City | DALLAS
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State | TX
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Zip | 75303-1173
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Country | US
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Telephone | 713-486-5600
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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 | 6801093215
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License Number State | MI
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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 | 63059
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License Number State | TX
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