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General NPI Number Information
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NPI Number | 1255884771
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Entity Type | Individual
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Provider Name | ADITYA JONES D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 11833 WILMINGTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90059-3015
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Country | US
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Telephone | 323-568-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 GARVEY AVE APT 211
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City | ALHAMBRA
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State | CA
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Zip | 91803-5214
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 20A16353
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License Number State | CA
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