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General NPI Number Information
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NPI Number | 1013410653
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Entity Type | Individual
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Provider Name | CHARLES WILLIAM JONES JR. PHARMD, BCPS
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Gender | Male
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 1450 CHAPEL ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-4405
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Country | US
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Telephone | 203-789-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 139 FARMINGTON CHASE CRES
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City | FARMINGTON
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State | CT
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Zip | 06032-3192
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Country | US
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Telephone | 973-204-6646
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PCT.0012359
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License Number State | CT
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