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General NPI Number Information
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NPI Number | 1144457177
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Entity Type | Individual
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Provider Name | AMY JENNIFER JONES
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Gender | Female
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | #1 MCGARITY RD.
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City | CANTON
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State | GA
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Zip | 30115
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Country | US
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Telephone | 770-360-9183
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Fax | 770-360-8965
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Provider Business Mailing Address
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Address Line | #1 MCGARITY RD.
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City | CANTON
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State | GA
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Zip | 30115
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Country | US
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Telephone | 770-360-9183
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Fax | 770-360-8965
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT003406
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License Number State | GA
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