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General NPI Number Information
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NPI Number | 1427772870
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Entity Type | Individual
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Provider Name | JENNA V YOUNG
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Gender | Female
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 201 LIBERTY ST SW
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City | LEESBURG
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State | VA
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Zip | 20175-2721
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Country | US
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Telephone | 703-777-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 201 LIBERTY ST SW
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City | LEESBURG
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State | VA
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Zip | 20175-2721
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Country | US
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Telephone | 703-777-4141
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | VA
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