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General NPI Number Information
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NPI Number | 1790575629
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Entity Type | Individual
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Provider Name | MR. THOMAS EARL JONES III
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Gender | Male
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 11425 MOORPARK ST
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City | STUDIO CITY
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State | CA
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Zip | 91602-2009
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Country | US
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Telephone | 310-920-8544
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Fax |
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Provider Business Mailing Address
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Address Line | 13855 BURBANK BLVD APT 4
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City | VAN NUYS
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State | CA
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Zip | 91401-5012
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Country | US
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Telephone | 209-696-3193
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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