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General NPI Number Information
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NPI Number | 1255541801
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Entity Type | Organization
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Legal Business Name | JONES HEARING CENTER LLC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 512 PORTER WAGONER BLVD
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City | WEST PLAINS
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State | MO
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Zip | 65775-2318
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Country | US
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Telephone | 417-255-1016
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Fax | 417-255-1016
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Provider Business Mailing Address
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Address Line | 512 PORTER WAGONER BLVD
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City | WEST PLAINS
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State | MO
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Zip | 65775-2318
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Country | US
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Telephone | 417-255-1016
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Fax | 417-255-1016
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROY L JONES
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Credential | B.C.-H.I.S.
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Telephone | 417-255-1016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 251
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License Number State | MO
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