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General NPI Number Information
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NPI Number | 1326570482
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Entity Type | Individual
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Provider Name | JESSICA CODY MASTER OF ARTS
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Gender | Female
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2407 W LOUISIANA AVE STE 105
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City | MIDLAND
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State | TX
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Zip | 79701-5826
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Country | US
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Telephone | 405-973-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 CROSSROADS BLVD STE 210
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City | NORMAN
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State | OK
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Zip | 73072-3391
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Country | US
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Telephone | 405-319-0119
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Fax | 405-676-1146
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93247
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License Number State | TX
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