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General NPI Number Information
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NPI Number | 1487369716
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Entity Type | Individual
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Provider Name | LOUIS JONES
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Gender | Male
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 80 E MIDLOTHIAN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-2019
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Country | US
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Telephone | 330-787-8746
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Fax |
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Provider Business Mailing Address
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Address Line | 387 JACKSON ST
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City | CAMPBELL
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State | OH
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Zip | 44405-1850
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Country | US
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Telephone | 216-858-9355
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | APS.003213
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License Number State | OH
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