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General NPI Number Information
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NPI Number | 1144237652
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Entity Type | Individual
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Provider Name | JULIE ADAMS JENNINGS PH. D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 W NELSON ST
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City | LEXINGTON
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State | VA
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Zip | 24450-2036
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Country | US
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Telephone | 450-463-7601
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Fax | 540-463-2293
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Provider Business Mailing Address
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Address Line | 700 STONEWALL ST
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City | LEXINGTON
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State | VA
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Zip | 24450-1838
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Country | US
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Telephone | 540-463-7601
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Fax | 540-463-2293
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810001308
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License Number State | VA
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