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General NPI Number Information
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NPI Number | 1871710616
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Entity Type | Individual
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Provider Name | TIFFANY CAROL JONES M.C.D. CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2208 FOWLER AVE STE C
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City | JONESBORO
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State | AR
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Zip | 72401-6187
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Country | US
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Telephone | 870-931-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 3377 NORTH COUNTY ROAD 275
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City | MANILA
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State | AR
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Zip | 72442-0000
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Country | US
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Telephone | 870-561-1079
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | P8024
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License Number State | AR
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