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General NPI Number Information
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NPI Number | 1316458169
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Entity Type | Organization
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Legal Business Name | JPM COUNSELING, LLC.
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 8149 N 87TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4399
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Country | US
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Telephone | 602-909-8409
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Fax |
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Provider Business Mailing Address
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Address Line | 8149 N 87TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4399
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Country | US
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Telephone | 602-909-8409
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Fax |
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Authorized Official
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Title or Position | CREDENTIALS
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Name | JASON MOORE
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Credential |
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Telephone | 602-400-0800
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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 | LPC-13258
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License Number State | AZ
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