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General NPI Number Information
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NPI Number | 1548368905
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Entity Type | Individual
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Provider Name | QUINNETTE BROOKE JONES PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 1301 FAYETTEVILLE ST
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City | DURHAM
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State | NC
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Zip | 27707-2325
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Country | US
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Telephone | 919-956-4000
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Fax | 919-667-2339
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Provider Business Mailing Address
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Address Line | 1301 FAYETTEVILLE ST
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City | DURHAM
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State | NC
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Zip | 27707-2325
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Country | US
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Telephone | 919-956-4000
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Fax | 919-667-2339
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-02132
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C005159
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License Number State | NC
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