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General NPI Number Information
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NPI Number | 1235297466
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Entity Type | Individual
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Provider Name | JACK GORDON JONES MEDICAL DOCTOR
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1660 AKRON PENINSULA RD SUITE 101
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City | AKRON
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State | OH
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Zip | 44313-5189
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Country | US
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Telephone | 330-920-1660
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Fax | 330-920-1373
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Provider Business Mailing Address
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Address Line | 1660 AKRON PENINSULA RD SUITE 101
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City | AKRON
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State | OH
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Zip | 44313-5189
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Country | US
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Telephone | 330-920-1660
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Fax | 330-920-1373
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 38061
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License Number State | OH
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