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NPI 1235310608

NPI 1235310608 : LAURA B HANCOCK JONES D.M.D. : MORGANFIELD, KY

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General NPI Number Information
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    NPI Number           |    1235310608
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA B HANCOCK JONES D.M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2007
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    Last Update Date     |    01/07/2021
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Provider Practice Location Address
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    Address Line         |    114 N BRADY ST 
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    City                 |    MORGANFIELD
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    State                |    KY
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    Zip                  |    42437-1502
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    Country              |    US
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    Telephone            |    270-389-2290
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    Fax                  |    270-389-9166
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Provider Business Mailing Address
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    Address Line         |    114 N BRADY ST 
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    City                 |    MORGANFIELD
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    State                |    KY
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    Zip                  |    42437-1502
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    Country              |    US
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    Telephone            |    270-389-2290
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    Fax                  |    270-389-9166
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    7949
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    1223D0001X
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    Taxonomy Name        |    Public Health Dentistry
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    License Number       |    7949
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    7949
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    7949
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    License Number State |    KY
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