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NPI 1780591834

NPI 1780591834 : JILLIAN POWELL ED.S. : BOWLING GREEN, OH

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General NPI Number Information
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    NPI Number           |    1780591834
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    Entity Type          |    Individual 
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    Provider Name        |    JILLIAN POWELL ED.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/25/2026
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    Last Update Date     |    08/25/2026
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Provider Practice Location Address
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    Address Line         |    530 W POE RD 
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-1213
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    Country              |    US
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    Telephone            |    419-354-0100
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    Fax                  |    419-354-1839
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Provider Business Mailing Address
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    Address Line         |    530 W POE RD 
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-1213
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    Country              |    US
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    Telephone            |    419-354-0100
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    Fax                  |    419-354-1839
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    LSP.000288
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    License Number State |    OH
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