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General NPI Number Information
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NPI Number | 1689173825
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Entity Type | Individual
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Provider Name | JEFFREY COMBS LPCC
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Gender | Male
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 25 CLYDEAN DR
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City | LEBURN
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State | KY
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Zip | 41831-8702
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Country | US
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Telephone | 606-785-1148
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Fax |
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Provider Business Mailing Address
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Address Line | 1192 PIGEONROOST RD
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City | BULAN
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State | KY
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Zip | 41722-9027
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Country | US
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Telephone | 606-216-5431
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 175315
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License Number State | KY
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