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General NPI Number Information
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NPI Number | 1083879563
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Entity Type | Organization
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Legal Business Name | LISA P JONES MD PLLC
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 57 W ADAMS ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4836
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Country | US
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Telephone | 931-787-1950
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Fax | 931-787-1953
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Provider Business Mailing Address
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Address Line | 57 W ADAMS ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4836
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Country | US
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Telephone | 931-787-1950
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Fax | 931-787-1953
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LISA PAYNE JONES
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Credential | M.D.
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Telephone | 931-787-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 29645
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License Number State | TN
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