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General NPI Number Information
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NPI Number | 1497517007
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Entity Type | Individual
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Provider Name | MRS. PAMELA CHRISTINA JONES
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Gender | Female
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 125 NUNNERY LN
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City | CATONSVILLE
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State | MD
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Zip | 21228-2029
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Country | US
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Telephone | 443-845-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 HARTMONT RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-1246
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Country | US
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Telephone | 443-845-3917
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 03A11173-A
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License Number State | MD
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