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General NPI Number Information
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NPI Number | 1598849770
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Entity Type | Individual
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Provider Name | JANICE ANNE JONES NP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 5707 N 22ND ST
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City | TAMPA
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State | FL
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Zip | 33610-4350
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Country | US
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Telephone | 813-239-8019
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Fax |
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Provider Business Mailing Address
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Address Line | 11124 IRISH MOSS AVE
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City | RIVERVIEW
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State | FL
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Zip | 33569-2224
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Country | US
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Telephone | 317-446-3323
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 9316964
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License Number State | FL
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