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General NPI Number Information
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NPI Number | 1316919137
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Entity Type | Individual
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Provider Name | AMY B JONES LISW
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 601 SOUTH EDWIN C MOSES BLVD
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City | DAYTON
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State | OH
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Zip | 45417-3424
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Country | US
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Telephone | 937-734-8333
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Fax | 937-644-3426
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Provider Business Mailing Address
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Address Line | 601 SOUTH EDWIN C MOSES BLVD
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City | DAYTON
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State | OH
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Zip | 45417-3424
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Country | US
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Telephone | 937-734-8333
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Fax | 937-644-3426
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S0500071
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06096
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1501421
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License Number State | OH
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