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General NPI Number Information
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NPI Number | 1104093186
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Entity Type | Organization
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Legal Business Name | JONES ADAPTIVE MOBILITY LLC
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 3441 HIGHWAY 126
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City | BLOUNTVILLE
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State | TN
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Zip | 37617-4525
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Country | US
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Telephone | 423-844-0939
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Fax | 423-484-0368
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Provider Business Mailing Address
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Address Line | 3441 HIGHWAY 126
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City | BLOUNTVILLE
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State | TN
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Zip | 37617-4525
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Country | US
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Telephone | 423-844-0939
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Fax | 615-514-9654
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. BRETT ALEXANDER JONES
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Credential | PT
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Telephone | 423-844-0939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 65771
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License Number State | TN
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