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General NPI Number Information
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NPI Number | 1124831045
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Entity Type | Individual
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Provider Name | SAMANTHA DIANNE JONES
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1051 TIFFANY BLVD S
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-1977
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Country | US
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Telephone | 855-629-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 122 CROSSWYNDS DR
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City | BEAVER FALLS
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State | PA
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Zip | 15010-1176
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Country | US
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Telephone | 724-799-3512
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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