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General NPI Number Information
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NPI Number | 1629307517
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Entity Type | Individual
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Provider Name | JILL M JACKOWSKI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/24/2009
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Last Update Date | 03/21/2010
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Provider Practice Location Address
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Address Line | 2900 HEMPSTEAD TPKE 217
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City | LEVITTOWN
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State | NY
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Zip | 11756-1404
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Country | US
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Telephone | 516-508-8107
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 HEMPSTEAD TPKE 217
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City | LEVITTOWN
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State | NY
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Zip | 11756-1404
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Country | US
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Telephone | 516-508-8107
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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 | 004360
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License Number State | NY
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