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General NPI Number Information
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NPI Number | 1811445356
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Entity Type | Individual
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Provider Name | KATHRYN MILDRED JONES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 5001 ROCKSIDE RD # IN20
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2172
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Country | US
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Telephone | 216-986-4000
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Fax | 216-986-4920
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0002
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Country | US
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Telephone | 216-444-5037
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Fax | 216-986-4920
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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