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General NPI Number Information
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NPI Number | 1487026365
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Entity Type | Individual
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Provider Name | EBONY N JONES LCSWA
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Gender | Female
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 6475 HACKBERRY CREEK TRL APT 1526
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City | CHARLOTTE
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State | NC
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Zip | 28269-1459
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Country | US
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Telephone | 347-249-0741
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Fax |
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Provider Business Mailing Address
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Address Line | 6475 HACKBERRY CREEK TRL APT 1526
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City | CHARLOTTE
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State | NC
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Zip | 28269-1459
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Country | US
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Telephone | 347-249-0741
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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 | P010036
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License Number State | NC
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