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NPI 1871941625

NPI 1871941625 : ELIZABETH ANN JONES MS, OTR/L : LUTHERVILLE, MD

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General NPI Number Information
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    NPI Number           |    1871941625
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH ANN JONES MS, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2016
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    Last Update Date     |    06/01/2016
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Provider Practice Location Address
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    Address Line         |    1818 POT SPRING RD SUITE 30
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    City                 |    LUTHERVILLE
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    State                |    MD
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    Zip                  |    21093-4445
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    Country              |    US
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    Telephone            |    410-583-5765
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    786 SILVER MAPLE CIR 
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    City                 |    SEVEN VALLEYS
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    State                |    PA
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    Zip                  |    17360-8977
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    Country              |    US
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    Telephone            |    443-615-0601
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OC010794
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    06252
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    License Number State |    MD
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