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General NPI Number Information
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NPI Number | 1932613866
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Entity Type | Individual
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Provider Name | JASON HALLMAN LPC
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Gender | Male
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 418A BARR RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2363
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Country | US
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Telephone | 803-674-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 335 PINE ST NW
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City | SALLEY
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State | SC
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Zip | 29137-9787
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Country | US
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Telephone | 803-240-6224
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7345
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License Number State | SC
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