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General NPI Number Information
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NPI Number | 1124355995
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Entity Type | Organization
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Legal Business Name | BYRON D JONES, INC
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Dates
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Enumeration Date | 11/15/2009
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 255 UNION BLVD SUITE 380
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City | LAKEWOOD
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State | CO
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Zip | 80228-1810
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Country | US
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Telephone | 303-985-4703
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Fax | 303-985-4705
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Provider Business Mailing Address
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Address Line | 255 UNION BLVD #380
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City | LAKEWOOD
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State | CO
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Zip | 80228-1810
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Country | US
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Telephone | 303-985-4703
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Fax | 303-985-4705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BYRON D JONES
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Credential | MD
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Telephone | 303-526-9379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 30302
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License Number State | CO
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