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General NPI Number Information
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NPI Number | 1285750224
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Entity Type | Organization
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Legal Business Name | MARK JONES MD PLC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 2520 W WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48640-6921
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Country | US
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Telephone | 989-698-3033
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Fax | 989-698-3034
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Provider Business Mailing Address
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Address Line | 2520 W WACKERLY ST
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City | MIDLAND
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State | MI
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Zip | 48640-6921
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Country | US
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Telephone | 989-698-3033
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Fax | 989-698-3034
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. MARK W JONES
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Credential | MD
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Telephone | 989-698-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MJ064490
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License Number State | MI
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