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General NPI Number Information
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NPI Number | 1316267602
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Entity Type | Individual
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Provider Name | JEMBRALYN JONES LPC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 106 FABRISTER LN SUITE D
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City | LEXINGTON
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State | SC
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Zip | 29072-1911
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Country | US
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Telephone | 803-957-0794
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Fax | 866-576-2589
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Provider Business Mailing Address
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Address Line | 217 HOLLY ST
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City | LAKE CITY
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State | SC
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Zip | 29560-2519
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Country | US
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Telephone | 803-447-0001
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Fax | 803-447-0001
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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 | 5707
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License Number State | SC
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