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General NPI Number Information
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NPI Number | 1659811578
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Entity Type | Individual
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Provider Name | LOVETTA JONES
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Gender | Female
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 127 SMITH AVE STE D
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City | THOMASVILLE
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State | GA
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Zip | 31792-5593
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Country | US
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Telephone | 229-236-9781
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Fax | 888-665-6733
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Provider Business Mailing Address
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Address Line | 127 SMITH AVE STE D412
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City | THOMASVILLE
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State | GA
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Zip | 31792-5569
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Country | US
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Telephone | 229-236-9781
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Fax | 229-226-8932
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 136R1311
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License Number State | GA
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