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General NPI Number Information
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NPI Number | 1114911385
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Entity Type | Individual
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Provider Name | KENNETH E JONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1552 NORTH RD SE STE 101
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City | WARREN
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State | OH
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Zip | 44484-2957
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Country | US
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Telephone | 330-856-1070
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Fax | 330-856-6186
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Provider Business Mailing Address
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Address Line | 1552 NORTH RD SE SUITE 101
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City | WARREN
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State | OH
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Zip | 44484-2957
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Country | US
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Telephone | 330-856-1070
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Fax | 330-856-6186
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35074255
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License Number State | OH
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