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General NPI Number Information
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NPI Number | 1134761893
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Entity Type | Individual
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Provider Name | JAYME E FARWELL LPC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 1137 N MAIN ST STE 2
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City | O FALLON
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State | MO
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Zip | 63366-1498
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Country | US
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Telephone | 636-294-2694
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Fax | 636-222-9277
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Provider Business Mailing Address
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Address Line | 514 SUNSET LN
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City | O FALLON
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State | MO
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Zip | 63366-2431
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Country | US
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Telephone | 618-660-0244
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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