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General NPI Number Information
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NPI Number | 1063221331
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Entity Type | Individual
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Provider Name | ZOE DENISE JONES
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | PO BOX 972077
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City | YPSILANTI
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State | MI
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Zip | 48197-0250
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Country | US
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Telephone | 734-883-6656
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Fax |
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Provider Business Mailing Address
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Address Line | 4803 WINIFRED ST
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City | WAYNE
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State | MI
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Zip | 48184-2603
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Country | US
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Telephone |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 4704393029
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License Number State | MI
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