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General NPI Number Information
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NPI Number | 1255879375
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Entity Type | Individual
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Provider Name | IRIS YVONNE JONES NURSE AID
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Gender | Female
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 2585 CREEK CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6803
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Country | US
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Telephone | 704-345-2781
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Fax |
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Provider Business Mailing Address
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Address Line | 2585 CREEK CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6803
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Country | US
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Telephone | 704-345-2781
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | X3P5J6E2
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | X3P5J6E2
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CN0030015656
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License Number State | GA
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