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General NPI Number Information
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NPI Number | 1891046140
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Entity Type | Individual
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Provider Name | JILLIAN BRIETTA JONES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 2516 GOODWATER AVE SUITE B
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City | REDDING
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State | CA
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Zip | 96002-1559
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Country | US
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Telephone | 530-242-1511
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Fax | 530-242-1611
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Provider Business Mailing Address
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Address Line | 2468 BIRCHWOOD CIR
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City | REDDING
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State | CA
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Zip | 96002-3748
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Country | US
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Telephone | 530-515-6708
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Fax | 530-242-1611
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT12848
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License Number State | CA
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