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General NPI Number Information
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NPI Number | 1386320620
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Entity Type | Individual
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Provider Name | DONALD JONES LAC
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Gender | Male
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 5700 OLD RICHMOND AVE STE C11
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City | RICHMOND
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State | VA
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Zip | 23226-1828
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Country | US
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Telephone | 804-803-3001
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Fax | 804-902-2849
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Provider Business Mailing Address
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Address Line | 8258 WHITTINGTON DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4262
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Country | US
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Telephone | 804-787-4713
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121001064
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License Number State | VA
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