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General NPI Number Information
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NPI Number | 1467301796
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Entity Type | Individual
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Provider Name | TINA MAXINE JONES MOT,LOTR
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 500 N 3RD ST
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City | HOMER
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State | LA
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Zip | 71040-3440
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Country | US
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Telephone | 318-927-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 148 BASINGER RD
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City | RINGGOLD
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State | LA
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Zip | 71068-3235
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Country | US
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Telephone | 318-423-2645
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTT.200618
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License Number State | LA
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