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General NPI Number Information
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NPI Number | 1306211099
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Entity Type | Individual
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Provider Name | CARRIE ANNE JONES
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 2615 CLEVELAND HWY
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City | DALTON
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State | GA
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Zip | 30721-8160
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Country | US
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Telephone | 706-270-5060
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Fax | 706-270-5135
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Provider Business Mailing Address
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Address Line | 980 RED BUD RD NE APT G1
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City | CALHOUN
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State | GA
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Zip | 30701-1993
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Country | US
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Telephone | 706-263-5546
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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