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General NPI Number Information
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NPI Number | 1558624031
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Entity Type | Individual
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Provider Name | AMANDA DAVIDSON JONES DPT
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Gender | Female
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 50 NORMANDY DR
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City | PAINESVILLE
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State | OH
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Zip | 44077-1600
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Country | US
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Telephone | 440-639-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 445 CHICKAMAUGA DR STE 101
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City | DAYTON
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State | TN
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Zip | 37321-4222
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Country | US
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Telephone | 440-209-1836
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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 | 013690
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License Number State | OH
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