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General NPI Number Information
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NPI Number | 1407181605
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Entity Type | Organization
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Legal Business Name | JSN ASSOCIATES, PLLC
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 9 CRESTLAKE CT
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City | MANSFIELD
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State | TX
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Zip | 76063-5469
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Country | US
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Telephone | 817-600-8747
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CRESTLAKE CT
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City | MANSFIELD
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State | TX
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Zip | 76063-5469
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Country | US
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Telephone | 817-600-8747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILL NONNEMACHER
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Credential |
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Telephone | 817-600-8747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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