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General NPI Number Information
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NPI Number | 1770981722
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Entity Type | Individual
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Provider Name | DEBORAH JONES
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 211 WINDY ACRES LN
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City | GRANTSVILLE
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State | MD
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Zip | 21536-1333
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Country | US
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Telephone | 301-697-3421
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Fax |
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Provider Business Mailing Address
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Address Line | 15109 LAUREL RIDGE RD SW
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City | CUMBERLAND
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State | MD
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Zip | 21502-5835
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M03180
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License Number State | MD
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