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General NPI Number Information
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NPI Number | 1790482743
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Entity Type | Organization
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Legal Business Name | POSTPARTUM JAX, LLC
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 1309 SAINT JOHNS BLUFF RD N STE A9
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City | JACKSONVILLE
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State | FL
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Zip | 32225-7333
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Country | US
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Telephone | 904-885-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 SAINT JOHNS BLUFF RD N STE A9
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City | JACKSONVILLE
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State | FL
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Zip | 32225-7333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | JENNIFER E BOWDEN
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Credential | LMHC
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Telephone | 904-885-2232
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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 |
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