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General NPI Number Information
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NPI Number | 1750705430
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Entity Type | Organization
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Legal Business Name | J. P. INTERVENTIONS, INC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 110 VILLAGE DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2423
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Country | US
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Telephone | 270-763-0728
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Fax | 270-763-9618
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Provider Business Mailing Address
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Address Line | 110 VILLAGE DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JANE PROUTY
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Credential | LPCC
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Telephone | 270-763-0728
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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 | 0190
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License Number State | KY
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