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General NPI Number Information
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NPI Number | 1295039931
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Entity Type | Individual
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Provider Name | MRS. KENNEATA LASHAWN JONES
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Gender | Female
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 4300 S HARVARD AVE STE 100
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City | TULSA
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State | OK
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Zip | 74135-2608
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Country | US
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Telephone | 918-584-0099
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Fax | 918-587-9286
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Provider Business Mailing Address
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Address Line | 4300 S HARVARD AVE STE 100
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City | TULSA
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State | OK
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Zip | 74135-2608
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Country | US
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Telephone | 918-584-0099
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Fax | 918-587-9286
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 21144
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License Number State | OK
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