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General NPI Number Information
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NPI Number | 1649152851
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Entity Type | Individual
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Provider Name | KAITLYN JONES
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1587 THE FAIRWAY STE C104
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City | JENKINTOWN
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State | PA
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Zip | 19046-1424
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Country | US
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Telephone | 215-774-8290
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Fax | 215-214-5723
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Provider Business Mailing Address
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Address Line | 2099 NEW ALBANY RD
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City | CINNAMINSON
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State | NJ
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Zip | 08077-3534
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Country | US
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Telephone | 609-926-8899
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Fax | 856-772-1997
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00947100
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License Number State | NJ
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