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General NPI Number Information
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NPI Number | 1114113776
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Entity Type | Organization
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Legal Business Name | KIMBER A. JONES, DO, PC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 22 ROCKINGHAM LN
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City | OAK RIDGE
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State | TN
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Zip | 37830-9033
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Country | US
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Telephone | 865-386-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 22 ROCKINGHAM LN
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City | OAK RIDGE
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State | TN
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Zip | 37830-9033
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Country | US
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Telephone | 865-386-4887
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBER A JONES
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Credential | D.O.
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Telephone | 865-386-4887
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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 | DO1555
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License Number State | TN
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