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General NPI Number Information
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NPI Number | 1841844495
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Entity Type | Individual
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Provider Name | JAMELUN ANNETTE CRUTCHFIELD JAMELUN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 210 25TH AVE N STE 601
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City | NASHVILLE
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State | TN
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Zip | 37203-1631
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Country | US
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Telephone | 615-873-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 CRYSTAL SPRING LN
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City | HERMITAGE
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State | TN
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Zip | 37076-4191
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Country | US
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Telephone | 615-887-4505
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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 | TN
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