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General NPI Number Information
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NPI Number | 1073205233
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Entity Type | Organization
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Legal Business Name | MARTHA JONES LLC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 5410 JOSHUA TREE CIR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-9342
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Country | US
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Telephone | 202-247-5080
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Fax |
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Provider Business Mailing Address
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Address Line | 5410 JOSHUA TREE CIR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-9342
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Country | US
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Telephone | 202-247-5080
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KELLY BROWN
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Credential |
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Telephone | 202-247-5080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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