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General NPI Number Information
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NPI Number | 1396201471
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Entity Type | Individual
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Provider Name | FELICIA JONES
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Gender | Female
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 3814 12TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2630
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Country | US
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Telephone | 202-526-3560
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Fax | 202-526-3561
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Provider Business Mailing Address
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Address Line | 3814 12TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2630
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Country | US
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Telephone | 202-526-3560
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Fax | 202-526-3561
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R4318
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-191977
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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