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General NPI Number Information
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NPI Number | 1346246899
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Entity Type | Individual
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Provider Name | DEB L JONES OTR L
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Gender | Female
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 1337 GUSDORF RD STE G
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City | TAOS
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State | NM
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Zip | 87571-6297
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Country | US
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Telephone | 575-758-4337
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Fax | 575-751-1890
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Provider Business Mailing Address
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Address Line | 1337 GUSDORF RD STE G
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City | TAOS
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State | NM
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Zip | 87571-6297
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Country | US
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Telephone | 575-758-4337
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Fax | 575-751-1890
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 888
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License Number State | NM
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