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General NPI Number Information
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NPI Number | 1861474629
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Entity Type | Individual
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Provider Name | SHANNON MARIE JONES MSPT, CEAS
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Gender | Female
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1220 W GRETNA RD
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City | GRETNA
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State | VA
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Zip | 24557-4087
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Country | US
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Telephone | 434-656-8535
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Fax | 434-656-9345
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Provider Business Mailing Address
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Address Line | 1070 MOUNTAIN RUN RD
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City | CASCADE
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State | VA
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Zip | 24069-2307
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Country | US
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Telephone | 434-685-5328
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Fax | 434-685-3971
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305006205
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | 2305006205
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License Number State | VA
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