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General NPI Number Information
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NPI Number | 1508188616
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Entity Type | Individual
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Provider Name | TANYA LYNN JONES BA
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Gender | Female
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 727 E WYANDOTTE AVE
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City | MCALESTER
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State | OK
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Zip | 74501-5427
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Country | US
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Telephone | 580-581-7246
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Fax | 580-581-7256
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Provider Business Mailing Address
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Address Line | 301 SAUNIER WAY
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City | MCALESTER
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State | OK
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Zip | 74501-7068
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Country | US
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Telephone | 918-470-6659
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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