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General NPI Number Information
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NPI Number | 1245430149
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Entity Type | Individual
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Provider Name | SANDRA SHIPLEY JONES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 1812 BALTIMORE BLVD SUITE G
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City | WESTMINSTER
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State | MD
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Zip | 21157-7146
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Country | US
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Telephone | 410-386-0620
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Fax | 410-795-8391
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Provider Business Mailing Address
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Address Line | 1879 AMANDA LANE
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City | FINKSBURG
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State | MD
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Zip | 21048
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Country | US
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Telephone | 410-795-2166
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Fax | 410-795-8391
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCO469
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License Number State | MD
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