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General NPI Number Information
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NPI Number | 1821681693
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Entity Type | Individual
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Provider Name | KAITLYN JONES DC, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 1 CIDER CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2803
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Country | US
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Telephone | 973-897-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CENTER ST
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City | WALLINGFORD
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State | CT
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Zip | 06492-4112
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Country | US
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Telephone | 973-897-2906
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 1494
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2285
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License Number State | CT
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