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General NPI Number Information
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NPI Number | 1962171199
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Entity Type | Individual
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Provider Name | GENISIA R JONES LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2112 11TH AVE S STE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2844
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Country | US
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Telephone | 205-945-7483
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Fax | 205-945-7083
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Provider Business Mailing Address
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Address Line | 10100 ELIDA RD
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City | DELPHOS
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State | OH
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Zip | 45833-9056
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Country | US
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Telephone | 419-695-8010
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6359G
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License Number State | AL
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