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General NPI Number Information
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NPI Number | 1487072526
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Entity Type | Individual
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Provider Name | MARY CAITLIN JONES DPT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2014
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 100 PLAZA LN
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City | WELLSBORO
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State | PA
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Zip | 16901
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Country | US
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Telephone | 570-948-2050
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Fax | 570-984-2055
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Provider Business Mailing Address
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Address Line | 37 BODINE ST
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City | WELLSBORO
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State | PA
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Zip | 16901-8206
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Country | US
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Telephone | 570-439-3132
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13951
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT022267
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License Number State | PA
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