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NPI 1225067671

NPI 1225067671 : SARAH W. JONES PH.D. : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1225067671
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH W. JONES PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2006
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    Last Update Date     |    03/14/2011
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Provider Practice Location Address
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    Address Line         |    2300 HENDERSON MILL RD NE STE.308
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30345-2745
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    Country              |    US
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    Telephone            |    770-938-0303
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    Fax                  |    770-939-3927
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Provider Business Mailing Address
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    Address Line         |    2300 HENDERSON MILL RD NE STE.308
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30345-2704
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    Country              |    US
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    Telephone            |    770-938-0303
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    Fax                  |    770-939-3927
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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        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    1733
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1733
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    License Number State |    GA
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