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General NPI Number Information
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NPI Number | 1750044657
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Entity Type | Individual
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Provider Name | ANNE C FAJARDO
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 620 S 3RD ST STE 102
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City | LOUISVILLE
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State | KY
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Zip | 40202-2445
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Country | US
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Telephone | 502-767-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 9905 BLUE LICK RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-1843
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Country | US
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Telephone | 502-593-6062
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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