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General NPI Number Information
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NPI Number | 1558608844
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Entity Type | Organization
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Legal Business Name | JULIE S JONES, PSY.D., LLC
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 419 SE MAIN ST STE 300
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2676
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Country | US
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Telephone | 864-884-5059
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Fax |
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Provider Business Mailing Address
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Address Line | 14 MEADOWRISE LN
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-6586
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Country | US
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Telephone | 864-884-5059
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. JULIE S JONES
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Credential | PSY.D.
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Telephone | 864-884-5059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 000877
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License Number State | SC
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