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General NPI Number Information
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NPI Number | 1770424772
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Entity Type | Individual
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Provider Name | JEFFREY WEGNER ED.S.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 521 STONECREST PKWY STE 102
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City | SMYRNA
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State | TN
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Zip | 37167-6897
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Country | US
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Telephone | 615-247-6831
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Fax |
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Provider Business Mailing Address
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Address Line | 553 AGRIPARK DR APT 805
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City | MURFREESBORO
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State | TN
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Zip | 37128-1245
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Country | US
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Telephone | 615-630-2584
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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 | TN
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