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General NPI Number Information
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NPI Number | 1649348111
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Entity Type | Individual
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Provider Name | CHARLES M JONES LPC
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4110 HIGHWAY 31 SOUTH
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City | DECATUR
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State | AL
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Zip | 35603
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Country | US
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Telephone | 256-355-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 SOMERVILLE RD SE SUITE 1
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City | DECATUR
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State | AL
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Zip | 35601-4305
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LPC 993
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License Number State | AL
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