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General NPI Number Information
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NPI Number | 1376827238
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Entity Type | Individual
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Provider Name | MYRA JONES
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Gender | Female
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 10 REUBEN CIR
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4540
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Country | US
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Telephone | 803-903-9732
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Fax |
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Provider Business Mailing Address
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Address Line | 738 MEETING ST STE A
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-7376
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Country | US
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Telephone | 803-904-9732
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 7486
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License Number State | SC
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