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General NPI Number Information
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NPI Number | 1215681762
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Entity Type | Organization
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Legal Business Name | EPOCH COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 5310 W VILLAGE PKWY STE 4
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City | ROGERS
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State | AR
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Zip | 72758-8201
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Country | US
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Telephone | 501-428-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 402 SE FULLERTON ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-4135
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Country | US
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Telephone | 501-428-3902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JODIE MICHELLE TIPTON
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Credential | LAC
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Telephone | 501-428-0935
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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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