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General NPI Number Information
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NPI Number | 1770940736
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE JAMES
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Gender | Female
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 415 KY 225
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City | BARBOURVILLE
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State | KY
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Zip | 40906
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Country | US
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Telephone | 859-209-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 101 KETCHAM ST APT 4
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City | BARBOURVILLE
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State | KY
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Zip | 40906-1849
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Country | US
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Telephone | 859-209-2340
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 273404
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License Number State | KY
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