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General NPI Number Information
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NPI Number | 1588973929
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Entity Type | Individual
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Provider Name | MARY-JENNIFER ELIZABETH QUINLEY MS
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Gender | Female
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 304 E LINCOLN WAY
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City | NEW HAMPTON
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State | MO
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Zip | 64471-0222
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Country | US
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Telephone | 660-439-2060
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Fax | 660-439-2061
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Provider Business Mailing Address
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Address Line | PO BOX 30
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City | TRENTON
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State | MO
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Zip | 64683-0030
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Country | US
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Telephone | 660-359-4487
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Fax | 660-359-2958
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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 | 2010033597
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License Number State | MO
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