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General NPI Number Information
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NPI Number | 1124170147
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Entity Type | Individual
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Provider Name | PURLEY S JONES MSW
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3739 12TH ST NE SUITE 1
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City | WASHINGTON
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State | DC
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Zip | 20017-2539
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Country | US
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Telephone | 202-293-2791
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Fax | 202-529-5792
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Provider Business Mailing Address
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Address Line | PO BOX 41329
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City | WASHINGTON
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State | DC
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Zip | 20018-0729
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Country | US
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Telephone | 202-293-2791
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Fax | 202-529-5792
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 07303
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC302104
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License Number State | DC
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