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General NPI Number Information
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NPI Number | 1023399201
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Entity Type | Individual
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Provider Name | JESSICA JONES M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 380 MILLWOOD AVE
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City | WINCHESTER
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State | VA
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Zip | 22601-4453
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Country | US
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Telephone | 540-667-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 101 ASHLEY CIR
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City | WINCHESTER
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State | VA
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Zip | 22602-7000
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Country | US
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Telephone | 703-477-4180
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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 | 1305
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202005498
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License Number State | VA
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