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General NPI Number Information
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NPI Number | 1639022130
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Entity Type | Individual
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Provider Name | MARILYN JONES
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 4265 JOHNS CREEK PKWY STE B
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City | SUWANEE
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State | GA
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Zip | 30024-6038
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Country | US
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Telephone | 770-476-8400
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Fax | 678-646-0602
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Provider Business Mailing Address
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Address Line | 8596 ISLAND BREEZE AVE
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-9619
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Country | US
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Telephone | 850-496-2529
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN197196
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License Number State | GA
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