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General NPI Number Information
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NPI Number | 1841792249
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Entity Type | Individual
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Provider Name | JAMES G JONES III MNSC, APRN, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 1002 HIGHLAND AVE
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City | SHREVEPORT
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State | LA
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Zip | 71101-4143
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Country | US
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Telephone | 318-678-7563
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Fax | 318-227-4592
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Provider Business Mailing Address
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Address Line | 2066 LOVERS LN
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City | SHREVEPORT
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State | LA
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Zip | 71105-3814
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Country | US
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Telephone | 318-773-9492
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP09605
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License Number State | LA
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