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General NPI Number Information
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NPI Number | 1073248753
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Entity Type | Individual
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Provider Name | JODIE ADAMS MCELDOWNEY LLC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 126 SEYMOUR AVE
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City | JACKSON
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State | MI
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Zip | 49202-3558
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Country | US
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Telephone | 734-219-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 11684 COOPER RD
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City | PLEASANT LAKE
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State | MI
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Zip | 49272-9618
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Country | US
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Telephone | 517-795-4483
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451022307
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License Number State | MI
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