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General NPI Number Information
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NPI Number | 1790703874
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Entity Type | Individual
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Provider Name | MONICA B. JONES R. D., L. D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 971 LAKELAND DR STE 450
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City | JACKSON
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State | MS
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Zip | 39216-4615
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Country | US
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Telephone | 601-948-5158
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Fax | 601-326-4265
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Provider Business Mailing Address
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Address Line | 971 LAKELAND DR STE 450
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City | JACKSON
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State | MS
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Zip | 39216-4615
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Country | US
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Telephone | 601-326-4255
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Fax | 601-326-4265
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D0660
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License Number State | MS
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