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General NPI Number Information
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NPI Number | 1972321024
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Entity Type | Individual
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Provider Name | CHANTEL JONES NP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 1 BROOKDALE PLZ
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City | BROOKLYN
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State | NY
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Zip | 11212-3139
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Country | US
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Telephone | 718-240-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 402 CHRISTOPHER AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-7116
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Country | US
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Telephone | 347-330-5634
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F312011-01
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License Number State | NY
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