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General NPI Number Information
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NPI Number | 1033630728
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH JONES
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Gender | Female
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/03/2017
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Provider Practice Location Address
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Address Line | 23 FAIR ST
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City | BRISTOL
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State | CT
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Zip | 06010-5531
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Country | US
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Telephone | 860-589-2923
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Fax |
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Provider Business Mailing Address
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Address Line | 5 TWO BROOK RD
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4161
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Country | US
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Telephone | 860-713-9026
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State | CT
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