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General NPI Number Information
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NPI Number | 1356924567
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Entity Type | Individual
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Provider Name | REBECCA JADE JONES DO
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 816 MAGIE AVE
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City | FAIRFIELD
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State | OH
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Zip | 45014-1722
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Country | US
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Telephone | 513-593-2063
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 5 MILE RD STE 105
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City | CINCINNATI
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State | OH
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Zip | 45230-2187
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 58.032438
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License Number State | OH
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