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General NPI Number Information
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NPI Number | 1598277808
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Entity Type | Individual
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Provider Name | JILL LEIGHANN HODGES
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2634 CAPITAL CIR NE
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4106
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Country | US
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Telephone | 850-523-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 9289 141ST LN
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City | LIVE OAK
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State | FL
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Zip | 32060-6393
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Country | US
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Telephone | 386-209-5725
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 23544
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 23544
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License Number State | FL
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