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General NPI Number Information
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NPI Number | 1750339453
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Entity Type | Individual
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Provider Name | LINDA NELL JONES-HICKS D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 297 WESTWOOD DR
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City | WOODBURY
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State | NJ
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Zip | 08096-3144
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Country | US
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Telephone | 856-848-2332
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Fax | 856-848-5955
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Provider Business Mailing Address
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Address Line | 5000 COX RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-9263
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Country | US
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Telephone | 804-968-5700
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Fax | 856-848-5955
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MB04202600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MB04202600
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License Number State | NJ
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