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General NPI Number Information
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NPI Number | 1588283535
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Entity Type | Individual
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Provider Name | STEFAN DANIEL JONES DPT
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Gender | Male
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 560 WINSTON RD STE B
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City | JONESVILLE
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State | NC
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Zip | 28642-2217
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Country | US
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Telephone | 336-964-0309
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SHADY LN
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City | WILKESBORO
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State | NC
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Zip | 28697-3013
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Country | US
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Telephone | 336-964-0209
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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 | 18569
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License Number State | NC
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