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General NPI Number Information
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NPI Number | 1992011803
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Entity Type | Individual
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Provider Name | JANA L. WALKER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 2315 WEST 39TH BOX 5
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City | KEARNEY
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State | NE
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Zip | 68845
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Country | US
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Telephone | 308-440-5470
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 APPLE VALLEY CT
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City | CUMMING
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State | GA
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Zip | 30041-9124
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Country | US
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Telephone | 470-589-8994
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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 | LPC009338
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License Number State | GA
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