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General NPI Number Information
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NPI Number | 1679044812
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Entity Type | Individual
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Provider Name | JORDAN MICHAEL EDMONDSON LPC
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 4228 N CENTRAL EXPY STE 225
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City | DALLAS
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State | TX
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Zip | 75206-6548
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Country | US
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Telephone | 214-763-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 FAIRMOUNT ST APT 6202
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City | DALLAS
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State | TX
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Zip | 75219-1119
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Country | US
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Telephone | 214-763-8584
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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 | 66241
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License Number State | TX
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