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General NPI Number Information
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NPI Number | 1629371729
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Entity Type | Individual
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Provider Name | DEBORAH I JONES LMT
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Gender | Female
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 2101 NORTHSIDE DR
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City | PANAMA CITY
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State | FL
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Zip | 32405-3685
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Country | US
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Telephone | 850-866-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 BLUE GRASS LN
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City | LYNN HAVEN
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State | FL
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Zip | 32444-3373
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Country | US
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Telephone | 850-866-1222
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA59475
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License Number State | FL
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