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General NPI Number Information
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NPI Number | 1114695483
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Entity Type | Organization
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Legal Business Name | MMJONES SERVICES
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 9200 INDIAN CREEK PKWY
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2036
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Country | US
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Telephone | 913-220-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 20002 RIGGS RD
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City | STILWELL
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State | KS
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Zip | 66085-9535
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Country | US
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Telephone | 913-220-5683
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MELISSA M JONES
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Credential | LCP
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Telephone | 913-220-5683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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