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General NPI Number Information
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NPI Number | 1124421839
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Entity Type | Individual
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Provider Name | JUDITH LYNN JANKOWSKI
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Gender | Female
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3211 REIDVILLE RD STE C
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City | SPARTANBURG
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State | SC
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Zip | 29301-6120
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Country | US
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Telephone | 864-278-0592
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Fax | 864-586-2300
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Provider Business Mailing Address
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Address Line | 3211 REIDVILLE RD STE C
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City | SPARTANBURG
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State | SC
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Zip | 29301-6120
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Country | US
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Telephone | 864-278-0592
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Fax | 864-586-2300
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6473
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6473
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License Number State | SC
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