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General NPI Number Information
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NPI Number | 1144651340
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Entity Type | Individual
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Provider Name | CONSTANCE JOY JONES DPT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 2395 WALL ST SE STE 176
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City | CONYERS
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State | GA
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Zip | 30013-6703
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Country | US
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Telephone | 770-679-1553
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Fax | 866-666-4344
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Provider Business Mailing Address
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Address Line | 105 REGENCY PARK DR
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City | MCDONOUGH
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State | GA
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Zip | 30253-6649
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Country | US
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Telephone | 770-305-7555
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Fax | 770-914-4178
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT011304
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License Number State | GA
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