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General NPI Number Information
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NPI Number | 1447109871
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Entity Type | Individual
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Provider Name | OLIVIA JENNINGS
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 155 VALLEY ST NE
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City | ABINGDON
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State | VA
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Zip | 24210-2832
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Country | US
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Telephone | 276-298-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 346 RODEFER ST SW
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City | ABINGDON
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State | VA
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Zip | 24210-3128
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Country | US
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Telephone | 276-759-1037
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | VA
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