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General NPI Number Information
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NPI Number | 1134247562
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Entity Type | Individual
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Provider Name | GRANT JEFFERIS JONES RPH
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2450 S REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43614-1419
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Country | US
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Telephone | 419-865-3130
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Fax | 419-865-6139
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Provider Business Mailing Address
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Address Line | 1331 CREEK BEND CT
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City | ROSSFORD
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State | OH
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Zip | 43460-1639
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Country | US
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Telephone | 419-666-8642
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Fax | 419-865-6139
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-3-14518
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License Number State | OH
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