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General NPI Number Information
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NPI Number | 1972328227
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Entity Type | Individual
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Provider Name | JENNIFER VOSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2600 CENTER ST NE
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City | SALEM
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State | OR
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Zip | 97301-2669
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Country | US
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Telephone | 714-319-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 5309 HOLLY LOOP SE
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City | TURNER
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State | OR
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Zip | 97392-9626
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Country | US
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Telephone | 714-319-8881
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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 | L15712
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License Number State | OR
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