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General NPI Number Information
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NPI Number | 1972322857
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Entity Type | Individual
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Provider Name | ANTWANETTE S JONES
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 5203 MARYLAND WAY STE 104
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City | BRENTWOOD
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State | TN
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Zip | 37027-5022
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Country | US
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Telephone | 615-560-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 574 OCALA DR
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City | NASHVILLE
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State | TN
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Zip | 37211-6354
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Country | US
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Telephone | 901-834-3947
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TN
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