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General NPI Number Information
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NPI Number | 1073819561
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Entity Type | Organization
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Legal Business Name | JASON JOY, LMFT, LLC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 828 LANE ALLEN RD STE, 200
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City | LEXINGTON
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State | KY
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Zip | 40504-3658
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Country | US
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Telephone | 859-806-1975
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Fax | 859-277-0709
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Provider Business Mailing Address
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Address Line | 828 LANE ALLEN RD STE, 200
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City | LEXINGTON
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State | KY
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Zip | 40504-3658
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Country | US
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Telephone | 859-806-1975
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Fax | 859-277-0709
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. JASON DONALD ELWYN JOY
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Credential | LMFT
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Telephone | 859-806-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 780860
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License Number State | KY
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