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General NPI Number Information
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NPI Number | 1821499013
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Entity Type | Individual
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Provider Name | KATHERINE JONES NP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 164 SUMMIT AVE
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City | PROVIDENCE
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State | RI
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Zip | 02906-2853
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Country | US
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Telephone | 17-934-1024
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ELLENFIELD ST STE 101
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City | PROVIDENCE
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State | RI
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Zip | 02905-4541
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Country | US
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Telephone |
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | R212778
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | APRN03280
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2275203
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License Number State | MA
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