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General NPI Number Information
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NPI Number | 1144859307
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Entity Type | Individual
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Provider Name | ROBERT JONES DO
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 16611 S 40TH ST STE 120
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City | PHOENIX
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State | AZ
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Zip | 85048-0563
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Country | US
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Telephone | 480-706-4100
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Fax | 480-706-2600
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Provider Business Mailing Address
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Address Line | 1250 E 3900 S STE 260
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City | SLC
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State | UT
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Zip | 84124-1371
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Country | US
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Telephone | 801-590-9862
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 010112
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License Number State | AZ
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