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General NPI Number Information
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NPI Number | 1740453463
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Entity Type | Organization
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Legal Business Name | J. KEVIN TURNIPSEED, INC.
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 1313 CHESTNUT RD
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City | MANSFIELD
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State | TX
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Zip | 76063-2522
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Country | US
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Telephone | 682-518-0055
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Fax | 682-518-5430
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Provider Business Mailing Address
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Address Line | 404 E BROAD ST STE. 500
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City | MANSFIELD
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State | TX
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Zip | 76063-1749
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Country | US
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Telephone | 682-518-0055
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Fax | 682-518-5430
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JON KEVIN TURNIPSEED
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Credential | MA, LPC
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Telephone | 682-518-0055
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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 | 13987
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License Number State | TX
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