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General NPI Number Information
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NPI Number | 1154000552
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Entity Type | Individual
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Provider Name | ANGELA CHARICE JONES
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 112 BELLEZZA TER
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-4300
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Country | US
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Telephone | 561-373-2166
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BELLEZZA TER
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-4300
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Country | US
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Telephone | 561-373-2166
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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