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General NPI Number Information
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NPI Number | 1215965314
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Entity Type | Individual
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Provider Name | CRYSTAL L JONES MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1602 N 2ND ST
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City | CLINTON
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State | MO
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Zip | 64735-1192
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Country | US
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Telephone | 660-885-8171
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 W 10TH ST STE 203
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City | SEDALIA
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State | MO
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Zip | 65301-2540
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Country | US
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Telephone | 660-827-2500
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | MO2008013239
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MO2008013239
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License Number State | MO
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