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General NPI Number Information
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NPI Number | 1386885242
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Entity Type | Individual
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Provider Name | CHIQUITA LINAIL JONES LICENSED MASSAGE THE
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Gender | Female
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 451 BROAD ST
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City | AUGUSTA
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State | GA
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Zip | 30901-1519
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Country | US
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Telephone | 706-284-1092
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CONIFER DR
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3901
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Country | US
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Telephone | 706-284-1092
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT005546
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 6188
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License Number State | SC
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