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Individual
MR. EDWARD JONES
Active
Individual
MR. EDWARD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001139
NEW YORK STATE
NY
Enumeration date
08/10/2022
Last updated
08/10/2022
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