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General NPI Number Information
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NPI Number | 1790083038
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Entity Type | Individual
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Provider Name | PAULINE M. JONES FNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 90 SOUTH BEDFORD ROAD MOUNT KISCO MEDIAL GROUP PC
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City | MOUNT KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-241-1050
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Fax | 914-242-1516
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Provider Business Mailing Address
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Address Line | 90 SOUTH BEDFORD ROAD MOUNT KISCO MEDICAL GROUP PC
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City | MOUNT KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-241-1050
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Fax | 914-242-1516
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 385706
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 336030
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License Number State | NY
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