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General NPI Number Information
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NPI Number | 1760043129
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Entity Type | Individual
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Provider Name | PAIGE JORDAN FLORA LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1228 ASHLEY CIR STE 1
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5803
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Country | US
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Telephone | 270-202-1096
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Fax | 270-495-1906
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Provider Business Mailing Address
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Address Line | 1228 ASHLEY CIR STE 1
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5803
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Country | US
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Telephone | 270-202-1096
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Fax | 270-495-1906
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 275005
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License Number State | KY
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