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General NPI Number Information
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NPI Number | 1932741816
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Entity Type | Individual
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Provider Name | CONNY JONES LPN
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Gender | Female
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Dates
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Enumeration Date | 10/12/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 4519 FENCER RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-3619
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Country | US
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Telephone | 719-257-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 6 29 EAST BOULDER STREET APARTMENT 1
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3169
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Country | US
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Telephone | 704-352-2830
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 04J425
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN.0335330
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License Number State | CO
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