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General NPI Number Information
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NPI Number | 1316921018
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Entity Type | Individual
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Provider Name | NANCY GAYLE JAMERSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | BARTON COUNTY HEALTH DEPARTMENT 1301 EAST 12TH ST.
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City | LAMAR
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State | MO
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Zip | 64759-6475
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Country | US
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Telephone | 417-214-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 E 18TH ST
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City | LAMAR
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State | MO
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Zip | 64759-2416
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Country | US
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Telephone | 417-214-3966
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 000619
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 000619
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 000619
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License Number State | MO
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