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General NPI Number Information
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NPI Number | 1134206022
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Entity Type | Individual
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Provider Name | ADRIAN E JONES CSAC, SAP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 6737 W WASHINGTON ST 2225
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City | MILWAUKEE
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State | WI
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Zip | 53214-5647
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Country | US
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Telephone | 414-256-4808
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Fax |
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Provider Business Mailing Address
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Address Line | 2008 N DR MARTIN LUTHER KING DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-3153
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Country | US
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Telephone | 414-336-1303
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11659-132
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License Number State | WI
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