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General NPI Number Information
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NPI Number | 1427136910
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Entity Type | Individual
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Provider Name | KEVIN DALE JONES LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 571 S EDMONDS LN SUITE 102
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City | LEWISVILLE
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State | TX
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Zip | 75067-3510
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Country | US
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Telephone | 972-436-3118
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Fax | 972-353-4259
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Provider Business Mailing Address
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Address Line | 571 S EDMONDS LN SUITE 102
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City | LEWISVILLE
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State | TX
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Zip | 75067-3510
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Country | US
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Telephone | 972-436-3118
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Fax | 972-353-4259
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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 | 14281
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4894
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License Number State | TX
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