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General NPI Number Information
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NPI Number | 1144293713
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Entity Type | Individual
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Provider Name | TAMMY JONES M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 9683A MAIN ST
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City | FAIRFAX
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State | VA
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Zip | 22031-3744
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Country | US
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Telephone | 703-426-4900
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Fax | 703-426-4954
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Provider Business Mailing Address
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Address Line | 9683 MAIN ST STE A
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City | FAIRFAX
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State | VA
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Zip | 22031-3755
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Country | US
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Telephone | 703-426-4900
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Fax | 703-426-4954
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 98-00293
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101266007
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License Number State | VA
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