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General NPI Number Information
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NPI Number | 1801100664
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Entity Type | Individual
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Provider Name | JESSE BARRINGTON HOMAN MS
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Gender | Male
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 2142 ALPINE PL
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City | CINCINNATI
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State | OH
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Zip | 45206-3214
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Country | US
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Telephone | 503-395-4267
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 ROBINSON CIR
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City | CINCINNATI
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State | OH
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Zip | 45223-1511
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Country | US
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Telephone | 310-866-1166
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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 | 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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