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General NPI Number Information
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NPI Number | 1659145845
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Entity Type | Individual
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Provider Name | ABREESHA JONES
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Gender | Female
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 7121 MAGNOLIA AVE STE J
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City | RIVERSIDE
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State | CA
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Zip | 92504-3805
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Country | US
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Telephone | 951-763-8688
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 PALMA BONITA LN
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City | PERRIS
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State | CA
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Zip | 92571-7472
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Country | US
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Telephone | 951-902-0651
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW105943
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License Number State | CA
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