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General NPI Number Information
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NPI Number | 1760909113
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Entity Type | Individual
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Provider Name | ANNE MARIE JONES MA, CCC-SPLIC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2017
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Last Update Date | 08/26/2017
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Provider Practice Location Address
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Address Line | 1325 BOONE HILL RD STE C
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City | SUMMERVILLE
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State | SC
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Zip | 29483-2490
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Country | US
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Telephone | 843-875-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 402 MAYFIELD ST
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8417
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Country | US
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Telephone | 419-769-3336
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3073
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5232
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License Number State | SC
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