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General NPI Number Information
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NPI Number | 1578238622
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Entity Type | Individual
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Provider Name | CHRISTINE BIANCA JONES RN
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Gender | Female
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 1292 MOUNT PISGAH DOWNS
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City | AUSTELL
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State | GA
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Zip | 30168-5200
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Country | US
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Telephone | 931-436-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 3961 FLOYD RD STE 300254
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City | AUSTELL
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State | GA
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Zip | 30106-8536
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Country | US
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Telephone | 931-436-1232
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN298290
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN298290
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN298290
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN298290
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License Number State | GA
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