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General NPI Number Information
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NPI Number | 1598563603
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Entity Type | Individual
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Provider Name | MATTHEW JONES
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1956 E 79TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-4270
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Country | US
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Telephone | 216-431-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 17326 INVERMERE AVE
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City | CLEVELAND
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State | OH
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Zip | 44128-1656
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Country | US
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Telephone | 216-297-5480
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0038795
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License Number State | OH
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