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General NPI Number Information
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NPI Number | 1790586188
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Entity Type | Individual
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Provider Name | NICOLE D JONES
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 15205 CARROLLTON BLVD
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City | CARROLLTON
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State | VA
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Zip | 23314-2303
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Country | US
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Telephone | 757-745-7213
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Fax | 757-257-1968
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Provider Business Mailing Address
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Address Line | 14334 BENNS CHURCH BLVD
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City | SMITHFIELD
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State | VA
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Zip | 23430-6123
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Country | US
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Telephone | 757-745-7213
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Fax | 757-257-1968
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | VA
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