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General NPI Number Information
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NPI Number | 1750728713
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Entity Type | Individual
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Provider Name | DANIELLE JEFFELLO JONES OT/L
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Gender | Female
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 4956 SABRA AVE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-5345
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Country | US
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Telephone | 937-718-1511
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Fax |
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Provider Business Mailing Address
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Address Line | 4956 SABRA AVE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-5345
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Country | US
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Telephone | 937-718-1511
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 135605
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 115094
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT008384
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License Number State | OH
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