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General NPI Number Information
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NPI Number | 1881993731
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Entity Type | Organization
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Legal Business Name | URSULA M JONES, LCSW
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 22 US OVAL SUITE 204
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City | PLATTSBURGH
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State | NY
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Zip | 12903-5900
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Country | US
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Telephone | 518-324-4344
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Fax | 518-324-4344
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Provider Business Mailing Address
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Address Line | 22 US OVAL SUITE 204
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City | PLATTSBURGH
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State | NY
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Zip | 12903-5900
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Country | US
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Telephone | 518-324-4344
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Fax | 518-324-4344
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Authorized Official
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Title or Position | LCSW
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Name | MS. URSULA MARIE JONES
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Credential | MSW
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Telephone | 518-324-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R026446
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License Number State | NY
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