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General NPI Number Information
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NPI Number | 1972510261
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Entity Type | Individual
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Provider Name | JESSICA GREENE ESLINGER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 CRESCENT AVE STE A
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City | LOUISVILLE
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State | KY
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Zip | 40206-1512
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Country | US
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Telephone | 502-494-8364
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Fax | 502-721-0333
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Provider Business Mailing Address
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Address Line | 101 CRESCENT AVE STE A
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City | LOUISVILLE
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State | KY
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Zip | 40206-1512
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Country | US
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Telephone | 502-494-8364
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Fax | 502-721-0333
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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 | 1192
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License Number State | KY
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