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General NPI Number Information
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NPI Number | 1134401839
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Entity Type | Individual
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Provider Name | LORETTA A JONES BSW, BHRS
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Gender | Female
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 502 E CINCINNATI AVE
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City | MUSKOGEE
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State | OK
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Zip | 74403-5535
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Country | US
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Telephone | 918-681-1113
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Fax | 918-681-1116
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Provider Business Mailing Address
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Address Line | 560 N 14TH ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-3103
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Country | US
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Telephone | 918-557-1041
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Fax | 918-681-1116
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OK
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