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NPI 1225628126

NPI 1225628126 : DARRYL JONES APRN-CRNA LLC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1225628126
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    Entity Type          |    Organization 
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    Legal Business Name  |    DARRYL JONES APRN-CRNA LLC 
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Dates
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    Enumeration Date     |    01/25/2021
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    100 NE 85TH ST 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73114-3916
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    Country              |    US
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    Telephone            |    405-631-3085
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    Fax                  |    405-616-2679
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Provider Business Mailing Address
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    Address Line         |    1901 BOATHOUSE RD 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73034-2439
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    Country              |    US
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    Telephone            |    405-431-9921
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DARRYL W. JONES 
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    Credential           |    APRN-CRNA
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    Telephone            |    405-431-9921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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