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General NPI Number Information
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NPI Number | 1205373081
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Entity Type | Individual
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Provider Name | MIRANDA LEIGH JONES PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 125 QUEENS RD
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City | CHARLOTTE
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State | NC
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Zip | 28204-3278
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Country | US
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Telephone | 704-343-9800
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Fax | 704-347-2011
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 336-481-8655
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Fax | 336-277-9165
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-07076
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MPA.5693
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0010-07076
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0007445
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License Number State | CO
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