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General NPI Number Information
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NPI Number | 1699075853
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Entity Type | Individual
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Provider Name | TERRI JACKSON
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Gender | Female
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 1104 ALLURE DR
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City | LAS VEGAS
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State | NV
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Zip | 89128-2095
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Country | US
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Telephone | 702-561-2725
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 753394
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City | LAS VEGAS
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State | NV
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Zip | 89136-3394
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Country | US
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Telephone | 702-100-0000
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CI0335
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License Number State | NV
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