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General NPI Number Information
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NPI Number | 1780501049
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Entity Type | Individual
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Provider Name | JESS WILSON
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2660 COOL STONE BEND DR
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City | AUBURN
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State | AL
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Zip | 36832-7500
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Country | US
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Telephone | 256-393-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 348 SAMFORD VILLAGE CT # 130
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City | AUBURN
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State | AL
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Zip | 36830-6383
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Country | US
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Telephone | 256-393-8424
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6958G
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License Number State | AL
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