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General NPI Number Information
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NPI Number | 1386730653
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Entity Type | Organization
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Legal Business Name | KATHLEEN M JONES MD INC.
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 75 COLONIA DE SALUD SUITE 200A
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2487
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Country | US
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Telephone | 520-459-4800
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Fax | 520-459-3199
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Provider Business Mailing Address
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Address Line | 6687 E MONTEZUMA CANYON RD
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City | HEREFORD
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State | AZ
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Zip | 85615-9704
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Country | US
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Telephone | 520-459-4800
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Fax | 520-459-3199
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS KATHLEEN MARY JONES
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Credential | MD
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Telephone | 520-459-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30291
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License Number State | AZ
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