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General NPI Number Information
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NPI Number | 1598819930
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Entity Type | Individual
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Provider Name | SUSAN KATHERINE JONES D.M.D
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 1518 MONTE SANO AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-5323
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Country | US
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Telephone | 762-222-7040
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Fax | 762-222-7032
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Provider Business Mailing Address
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Address Line | 1518 MONTE SANO AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-5323
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Country | US
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Telephone | 762-222-7040
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Fax | 762-222-7032
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN013339
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License Number State | GA
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