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General NPI Number Information
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NPI Number | 1366772311
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Entity Type | Individual
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Provider Name | CARLY ANN JONES DPT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 42084 NEW YORK 28 BOX 200
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City | MARGARETVILLE
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State | NY
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Zip | 12455-0200
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Country | US
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Telephone | 307-652-2140
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Fax | 607-652-2141
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Provider Business Mailing Address
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Address Line | 26 CONKEY AVE BOX 136
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City | NORWICH
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State | NY
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Zip | 13815-1756
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Country | US
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Telephone | 607-334-5010
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Fax | 607-336-7326
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 032229
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License Number State | NY
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