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General NPI Number Information
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NPI Number | 1104749746
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Entity Type | Individual
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Provider Name | AMANDA JANE JONES
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 700 SE CROSS ST
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City | MT STERLING
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State | IL
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Zip | 62353-1561
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Country | US
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Telephone | 217-773-3325
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Fax | 217-773-2425
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | TIMEWELL
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State | IL
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Zip | 62375-0054
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Country | US
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Telephone | 217-773-3325
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Fax | 217-773-2425
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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 | 043090629
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License Number State | IL
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