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General NPI Number Information
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NPI Number | 1023905908
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Entity Type | Individual
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Provider Name | CANDICE JONES
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 201 E MAIN ST
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City | ROWLAND
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State | NC
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Zip | 28383-9400
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Country | US
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Telephone | 910-720-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 71 STERLING DR
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City | ROWLAND
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State | NC
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Zip | 28383-9766
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Country | US
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Telephone | 910-374-6695
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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