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General NPI Number Information
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NPI Number | 1902618721
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Entity Type | Individual
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Provider Name | MS. TERRICCA JONES
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 3191 DALE LN SW
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City | ATLANTA
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State | GA
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Zip | 30311-5316
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Country | US
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Telephone | 678-358-1908
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 NORTHSIDE DR NW # A73659
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City | ATLANTA
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State | GA
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Zip | 30318-2673
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | N7A4T4X8
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | CN0030098017
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License Number State | GA
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