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General NPI Number Information
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NPI Number | 1003739236
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Entity Type | Individual
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Provider Name | KAITLYN OBRIEN JONES
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 8701 OTTERBURN RD
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City | AMELIA COURT HOUSE
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State | VA
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Zip | 23002-4884
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Country | US
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Telephone | 804-561-2621
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Fax |
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Provider Business Mailing Address
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Address Line | 412 W HIGH ST
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City | SOUTH HILL
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State | VA
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Zip | 23970-1622
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Country | US
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Telephone | 804-201-3363
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202012506
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License Number State | VA
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