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General NPI Number Information
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NPI Number | 1295991099
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Entity Type | Organization
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Legal Business Name | MARK R. JONES, LCSW, LLC
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 700 S TRENTON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15221-3477
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Country | US
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Telephone | 412-244-0960
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Fax | 800-811-0983
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Provider Business Mailing Address
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Address Line | PO BOX 53
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City | MURRYSVILLE
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State | PA
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Zip | 15668-0053
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Country | US
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Telephone | 412-244-0960
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Fax | 800-811-0983
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK R. JONES
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Credential | ACSW, LSCW
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Telephone | 412-244-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW001690L
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License Number State | PA
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