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General NPI Number Information
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NPI Number | 1649733023
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Entity Type | Individual
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Provider Name | MRS. JONI NAUMANN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 757 3RD ST
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City | BOONVILLE
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State | MO
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Zip | 65233-1670
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Country | US
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Telephone | 903-227-1346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7953
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City | COLUMBIA
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State | MO
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Zip | 65205-7953
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2019009030
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License Number State | MO
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