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General NPI Number Information
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NPI Number | 1295165074
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Entity Type | Organization
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Legal Business Name | ANNE JONES, PSY.D LLC
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 322 E CENTRAL BLVD UNIT 504
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City | ORLANDO
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State | FL
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Zip | 32801-1999
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Country | US
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Telephone | 515-710-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 322 E CENTRAL BLVD UNIT 504
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City | ORLANDO
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State | FL
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Zip | 32801-1999
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Country | US
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Telephone | 515-710-8424
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | ANNE JONES
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Credential | PSY.D.
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Telephone | 515-710-8424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | L13000153148
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License Number State | FL
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