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General NPI Number Information
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NPI Number | 1720456148
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Entity Type | Individual
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Provider Name | JEM REMY POWELL PSYD,MA
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Gender | Female
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 801 CASCADE POINTE LN STE 101
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City | CARY
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State | NC
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Zip | 27513-5824
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Country | US
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Telephone | 574-216-1694
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Fax | 574-635-5999
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Provider Business Mailing Address
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Address Line | 5430 BELLINGHAM AVE UNIT 104
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-4332
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Country | US
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Telephone | 407-453-2623
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PP6771
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35472
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License Number State | CA
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