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General NPI Number Information
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NPI Number | 1972482487
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Entity Type | Organization
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Legal Business Name | JENNIFER PEARSON LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5150 TRAIL LAKE DR STE 5
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City | FORT WORTH
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State | TX
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Zip | 76133-2030
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Country | US
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Telephone | 817-900-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 835 E LAMAR BLVD # 420
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City | ARLINGTON
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State | TX
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Zip | 76011-3504
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Country | US
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Telephone | 817-900-2251
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | JENNIFER PEARSON
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Credential | LCSW
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Telephone | 817-900-2251
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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 |
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License Number State |
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