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General NPI Number Information
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NPI Number | 1518626753
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Entity Type | Individual
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Provider Name | JAMI LOU SMITHSON MA
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Gender | Female
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 5230 HICKORY PARK DR STE A
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City | GLEN ALLEN
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State | VA
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Zip | 23059-2628
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Country | US
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Telephone | 804-322-9955
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Fax | 804-270-1088
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Provider Business Mailing Address
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Address Line | 9762 W RIVER RD
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City | AYLETT
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State | VA
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Zip | 23009-2731
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Country | US
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Telephone | 804-380-4652
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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 | 0704012505
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License Number State | VA
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