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General NPI Number Information
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NPI Number | 1295337889
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Entity Type | Individual
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Provider Name | LEAH VANN JONES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 6259 COLLEGE DR
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City | SUFFOLK
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State | VA
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Zip | 23435-2610
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Country | US
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Telephone | 757-483-9833
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Fax | 757-483-0477
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Provider Business Mailing Address
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Address Line | 13207 WINDWARD PL
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City | CARROLLTON
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State | VA
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Zip | 23314-3451
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Country | US
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Telephone | 757-344-8333
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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 | 0202207985
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License Number State | VA
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