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General NPI Number Information
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NPI Number | 1033170337
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Entity Type | Individual
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Provider Name | D BRYNLEY JONES MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | N8070 OAK RIDGE DR
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City | BEAVER DAM
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State | WI
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Zip | 53916-9063
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Country | US
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Telephone | 920-356-6232
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Fax |
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Provider Business Mailing Address
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Address Line | N8070 OAK RIDGE DR
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City | BEAVER DAM
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State | WI
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Zip | 53916-9063
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40854
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 40854-020
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License Number State | WI
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