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General NPI Number Information
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NPI Number | 1043387731
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Entity Type | Individual
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Provider Name | GINA G JONES PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 2425 HWY 121
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City | BEDFORD
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State | TX
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Zip | 76021-5011
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Country | US
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Telephone | 817-540-4477
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Fax | 817-510-0188
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Provider Business Mailing Address
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Address Line | 728 JOHNS WELL CT
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City | ARGYLE
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State | TX
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Zip | 76226-1729
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Country | US
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Telephone | 386-547-0975
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Fax | 254-267-1049
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1074241
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA04954
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License Number State | TX
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