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General NPI Number Information
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NPI Number | 1154961571
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Entity Type | Individual
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Provider Name | CORINA L JONES M.S. CERTI IN ELDER
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Gender | Female
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 1210 TERRA HILL DR APT 4B
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City | WILMINGTON
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State | DE
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Zip | 19809-3535
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Country | US
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Telephone | 610-457-5258
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Fax | 302-689-6564
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Provider Business Mailing Address
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Address Line | 1210 TERRA HILL DR APT 4B
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City | WILMINGTON
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State | DE
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Zip | 19809-3535
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Country | US
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Telephone | 610-457-5258
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Fax | 302-689-6564
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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