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General NPI Number Information
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NPI Number | 1568121168
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Entity Type | Individual
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Provider Name | AUDREY JONES
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Gender | Female
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3270 SUNTREE BLVD
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City | MELBOURNE
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State | FL
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Zip | 32940-7530
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Country | US
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Telephone | 321-757-4015
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Fax |
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Provider Business Mailing Address
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Address Line | 809 MACON DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-4914
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Country | US
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Telephone | 931-257-1269
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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 | MH24509
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License Number State | FL
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