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General NPI Number Information
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NPI Number | 1548184757
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Entity Type | Individual
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Provider Name | JESSICA BELL TACKETT MA
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 610 1/2 MAIN ST STE F
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City | POINT PLEASANT
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State | WV
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Zip | 25550-1121
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Country | US
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Telephone | 304-812-5426
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Fax |
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Provider Business Mailing Address
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Address Line | 486 GLENWOOD RD
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City | MILTON
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State | WV
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Zip | 25541-6841
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Country | US
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Telephone | 304-633-7088
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | WV
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