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General NPI Number Information
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NPI Number | 1083608525
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Entity Type | Organization
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Legal Business Name | PAUL L JONES MD PA
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 500 VONDERBURG DR SUITE 305 EAST
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City | BRANDON
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State | FL
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Zip | 33511-5964
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Country | US
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Telephone | 813-685-5631
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Fax | 813-654-1032
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Provider Business Mailing Address
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Address Line | 500 VONDERBURG DR SUITE 305 EAST
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City | BRANDON
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State | FL
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Zip | 33511-5964
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Country | US
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Telephone | 813-685-5631
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Fax | 813-654-1032
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL L JONES
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Credential | MD
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Telephone | 813-685-5631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME0016067
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License Number State | FL
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