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General NPI Number Information
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NPI Number | 1427056183
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Entity Type | Individual
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Provider Name | TRACEY N JONES M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 439 JENNICK DR
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-4901
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Country | US
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Telephone | 804-524-0890
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Fax | 804-524-0897
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Provider Business Mailing Address
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Address Line | 439 JENNICK DR
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-4901
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Country | US
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Telephone | 804-524-0890
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Fax | 804-524-0897
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101049908
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License Number State | VA
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