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General NPI Number Information
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NPI Number | 1669037750
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Entity Type | Individual
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Provider Name | JOVANN T JONES
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Gender | Female
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1260 FILLMORE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-4111
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Country | US
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Telephone | 415-632-2761
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 BUCHANAN ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-4206
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Country | US
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Telephone | 415-632-2761
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 534666
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License Number State | CA
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