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General NPI Number Information
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NPI Number | 1821320565
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Entity Type | Individual
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Provider Name | JANET IRENE NEWSHAM LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 71 NICKAJACK RD
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City | PLEASANT SHADE
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State | TN
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Zip | 37145-3221
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Country | US
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Telephone | 615-486-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 71 NICKAJACK ROAD
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City | PLEASANT SHADE
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State | TN
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Zip | 37145
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Country | US
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Telephone | 615-486-4646
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC15417
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3278
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3115
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License Number State | TN
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