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General NPI Number Information
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NPI Number | 1255647921
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Entity Type | Individual
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Provider Name | SUSAN R JONES MS LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 1714 E 30TH AVE SUITE B
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City | HUTCHINSON
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State | KS
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Zip | 67502-1262
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Country | US
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Telephone | 620-931-8040
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Fax |
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Provider Business Mailing Address
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Address Line | 125 HYDE PARK DR
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City | HUTCHINSON
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State | KS
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Zip | 67502-2825
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Country | US
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Telephone | 620-200-3401
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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 | 779
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License Number State | KS
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