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General NPI Number Information
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NPI Number | 1174507800
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Entity Type | Individual
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Provider Name | RICHARD EDWIN JONES III MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 4280 WATERMELON RD STE 112
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City | NORTHPORT
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State | AL
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Zip | 35473-5250
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Country | US
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Telephone | 205-750-0030
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Fax | 205-750-0855
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Provider Business Mailing Address
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Address Line | 100 TOWNCENTER BLVD STE 112
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City | TUSCALOOSA
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State | AL
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Zip | 35406-1833
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Country | US
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Telephone | 205-750-0030
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Fax | 205-750-0855
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 00019352
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License Number State | AL
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