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General NPI Number Information
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NPI Number | 1821820960
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Entity Type | Individual
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Provider Name | IMANI LANEA JONES
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Gender | Female
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 2751 NAPA VALLEY CORPORATE DR BLDG B
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City | NAPA
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State | CA
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Zip | 94558-6216
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Country | US
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Telephone | 707-227-3900
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Fax | 707-227-3888
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Provider Business Mailing Address
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Address Line | 2101 COURAGE DR
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City | FAIRFIELD
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State | CA
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Zip | 94533-6717
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Country | US
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Telephone | 707-428-1131
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 746306
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License Number State | CA
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