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General NPI Number Information
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NPI Number | 1801547435
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Entity Type | Organization
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Legal Business Name | J&M ADVISORS
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 4304 SIR JULIAN CT
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City | RALEIGH
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State | NC
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Zip | 27610-8717
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Country | US
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Telephone | 984-920-2866
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 46751
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City | RALEIGH
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State | NC
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Zip | 27620-6751
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Country | US
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Telephone | 347-927-6107
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MCKENZIE COURTNEY JOHNSON
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Credential | LCMHC
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Telephone | 984-920-2866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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