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General NPI Number Information
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NPI Number | 1073543203
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Entity Type | Individual
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Provider Name | DOUGLAS R JONES D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 140 JENKINS MEMORIAL RD
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City | WELLSTON
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State | OH
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Zip | 45692-9561
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Country | US
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Telephone | 740-384-2167
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Fax | 740-446-5073
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Provider Business Mailing Address
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Address Line | 90 JACKSON PIKE
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1560
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Country | US
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Telephone | 740-384-2167
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Fax | 740-446-5073
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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 | 34.003365
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License Number State | OH
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