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General NPI Number Information
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NPI Number | 1245825843
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Entity Type | Individual
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Provider Name | JACQUES WESTON
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Gender | Male
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 305 PLEASANT ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901
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Country | US
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Telephone | 855-593-7866
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Fax | --
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Provider Business Mailing Address
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Address Line | PO BOX 1885
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City | HOT SPRINGS
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State | AR
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Zip | 71902-1885
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Country | US
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Telephone | --
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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