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General NPI Number Information
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NPI Number | 1780008912
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Entity Type | Individual
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Provider Name | JENNIFER VILLAR
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 301 PALMETTO PARK BLVD
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City | LEXINGTON
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State | SC
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Zip | 29072-7872
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Country | US
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Telephone | 803-996-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 160 BROAD OAK LN
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City | LEXINGTON
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State | SC
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Zip | 29072-8270
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Country | US
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Telephone | 225-287-1191
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | AN 534923
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8865
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License Number State | SC
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