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General NPI Number Information
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NPI Number | 1255057071
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Entity Type | Individual
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Provider Name | KIMBERLY ANN JONES
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Gender | Female
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1401 W PECAN ST
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2518
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Country | US
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Telephone | 512-594-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 W BRAKER LN UNIT B
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City | AUSTIN
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State | TX
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Zip | 78758-3648
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Country | US
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Telephone | 512-964-7073
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 16856
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License Number State | TX
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