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General NPI Number Information
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NPI Number | 1174949374
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Entity Type | Individual
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Provider Name | RICHARD SCOTT JONES DDS
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Gender | Male
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 507 N SULLIVAN RD STE 120
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037
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Country | US
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Telephone | 509-922-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 NE PACIFIC ST BOX 357134 UW DEPARTMENT OF ORAL SURGERY
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City | SEATTLE
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State | WA
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Zip | 98195
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Country | US
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Telephone |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DE60830772
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DR60468262
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License Number State | WA
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