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General NPI Number Information
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NPI Number | 1073837720
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Entity Type | Organization
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Legal Business Name | KYLE E. JONES, M.D., P.A.
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 3154 CLARKSVILLE ST
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City | PARIS
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State | TX
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Zip | 75460-8015
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Country | US
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Telephone | 903-785-4600
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Fax | 903-782-9150
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | PARIS
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State | TX
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Zip | 75461-0099
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Country | US
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Telephone | 903-785-4600
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Fax | 903-782-9150
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KYLE ELLIOTT JONES
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Credential | M.D.
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Telephone | 903-785-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K8239
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | K8239
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License Number State | TX
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