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General NPI Number Information
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NPI Number | 1639474729
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Entity Type | Individual
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Provider Name | PORSHA L JONES LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 2964 PEACHTREE RD NW SUITE 760
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City | ATLANTA
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State | GA
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Zip | 30305-2153
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Country | US
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Telephone | 404-358-6925
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 BIG TREE POINTE
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City | VILLA RICA
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State | GA
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Zip | 30180-5825
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Country | US
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Telephone | 404-518-7811
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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