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General NPI Number Information
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NPI Number | 1225128879
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Entity Type | Individual
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Provider Name | JOHN DAVID JONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6104 AVE Q SOUTH DRIVE VA OUTPATIENT CLINIC
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City | LUBBOCK
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State | TX
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Zip | 79412
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Country | US
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Telephone | 806-472-3411
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Fax |
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Provider Business Mailing Address
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Address Line | OF OPHTHALMOLOGY MSC 7217 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
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City | LUBBOCK
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State | TX
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Zip | 79430-0001
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Country | US
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Telephone | 806-743-2412
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Fax | 806-743-2471
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D2480
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License Number State | TX
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