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General NPI Number Information
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NPI Number | 1295070829
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Entity Type | Individual
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Provider Name | NATHALIE R JONES RPH
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Gender | Female
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 12/08/2012
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Provider Practice Location Address
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Address Line | 2970 N SHERIDAN RD APT 1131
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City | CHICAGO
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State | IL
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Zip | 60657-5829
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Country | US
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Telephone | 773-865-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 2970 N SHERIDAN RD APT 1131
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City | CHICAGO
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State | IL
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Zip | 60657-5829
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Country | US
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Telephone | 773-865-4223
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26020814A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.290630
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302039705
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License Number State | MI
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