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General NPI Number Information
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NPI Number | 1255691119
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Entity Type | Organization
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Legal Business Name | DAVID R. JONES, D.D
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 5339 N IH 35
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City | AUSTIN
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State | TX
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Zip | 78723-2428
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Country | US
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Telephone | 512-744-6000
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Fax | 512-450-6395
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Provider Business Mailing Address
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Address Line | 2621 RIDGEPOINT DR STE 130
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City | AUSTIN
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State | TX
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Zip | 78754-5224
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Country | US
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Telephone | 512-583-9679
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Fax | 512-334-2322
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Authorized Official
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Title or Position | OWNER
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Name | DAVID R JONES
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Credential | DDS
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Telephone | 512-583-9679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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