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General NPI Number Information
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NPI Number | 1649735796
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Entity Type | Individual
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Provider Name | MS. TAMIKA A JONES
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Gender | Female
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 55 WHITCHER ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-1155
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Country | US
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Telephone | 770-428-0462
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Fax |
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Provider Business Mailing Address
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Address Line | 2096 CHESTNUT LOG CIR
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-3521
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Country | US
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Telephone | 352-308-5700
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | RN239182
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | RN239182
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN239182
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License Number State | GA
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