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NPI 1407697964

NPI 1407697964 : EMMA PAULINE JONES : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1407697964
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA PAULINE JONES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2024
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    Last Update Date     |    07/14/2025
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Provider Practice Location Address
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    Address Line         |    3111 W ARMITAGE AVE STE 203 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60647-3818
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    Country              |    US
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    Telephone            |    619-800-8364
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3245 UNIVERSITY AVE STE 1-212 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92104-2009
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    Country              |    US
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    Telephone            |    619-800-8364
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    122151
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149028830
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    License Number State |    IL
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