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General NPI Number Information
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NPI Number | 1093830341
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Entity Type | Organization
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Legal Business Name | JONES EDWARDS PROFESSIONAL SERVICES.DBA
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1113 E WENDOVER AVE SUITE B
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City | GREENSBORO
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State | NC
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Zip | 27405-6773
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Country | US
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Telephone | 336-279-1000
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Fax | 336-279-1066
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Provider Business Mailing Address
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Address Line | 1113 E WENDOVER AVE SUITE B
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City | GREENSBORO
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State | NC
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Zip | 27405-6773
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Country | US
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Telephone | 336-279-1000
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Fax | 336-279-1066
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Authorized Official
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Title or Position | CEO
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Name | MS. MARILYN JONES EDWARDS
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Credential | M.S.W.
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Telephone | 336-279-1000
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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 | 83000379
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License Number State | NC
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