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General NPI Number Information
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NPI Number | 1750909834
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH JONES ATC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 21670 ASHBURN RD
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City | ASHBURN
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State | VA
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Zip | 20147-4710
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Country | US
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Telephone | 703-297-6165
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Fax |
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Provider Business Mailing Address
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Address Line | 20093 CREW SQ
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City | ASHBURN
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State | VA
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Zip | 20147-3334
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Country | US
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Telephone | 703-297-6165
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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 | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | 2000023193
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License Number State | VA
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