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General NPI Number Information
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NPI Number | 1316077191
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Entity Type | Organization
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Legal Business Name | JONES HABER LLC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 389 HIGHWAY 21 SUITE 403
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City | MADISONVILLE
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State | LA
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Zip | 70447-3441
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Country | US
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Telephone | 985-792-5996
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Fax | 985-792-5998
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Provider Business Mailing Address
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Address Line | 389 HIGHWAY 21 SUITE 403
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City | MADISONVILLE
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State | LA
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Zip | 70447-3441
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Country | US
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Telephone | 985-792-5996
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Fax | 985-792-5998
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAUL JONES
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Credential | P.T
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Telephone | 985-792-5996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 94014804
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License Number State | LA
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