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General NPI Number Information
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NPI Number | 1063124238
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Entity Type | Individual
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Provider Name | ANGELA RAGANS JONES LPN
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Gender | Female
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 1555 MEADOWVIEW DR
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City | DANVILLE
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State | VA
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Zip | 24541-7351
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Country | US
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Telephone | 800-805-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 857 JOSEPH MARTIN HWY
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City | MARTINSVILLE
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State | VA
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Zip | 24112-0013
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Country | US
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Telephone | 276-618-4648
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0002102299
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License Number State | VA
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