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General NPI Number Information
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NPI Number | 1184255440
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Entity Type | Individual
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Provider Name | LATASHA NICHOLE JONES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 8685 S OLD 41
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City | CARLISLE
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State | IN
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Zip | 47838-8234
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Country | US
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Telephone | 812-268-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 10950 E FLESHER AVE
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City | TERRE HAUTE
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State | IN
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Zip | 47803-9628
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Country | US
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Telephone | 812-239-7616
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28181448A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71009861A
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License Number State | IN
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