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General NPI Number Information
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NPI Number | 1316469810
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Entity Type | Organization
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Legal Business Name | JONES MY WAY, LLC
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 8460 WATSON RD STE 130
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City | SAINT LOUIS
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State | MO
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Zip | 63119-5241
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Country | US
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Telephone | 314-438-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 8460 WATSON RD STE 130
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City | SAINT LOUIS
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State | MO
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Zip | 63119-5241
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BETTY JONES
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Credential |
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Telephone | 314-438-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number | 7A1905
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License Number State | MO
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