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General NPI Number Information
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NPI Number | 1407298185
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Entity Type | Organization
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Legal Business Name | VM JONES CONSULTING
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 4280 BANYAN TRAILS DR
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City | COCONUT CREEK
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State | FL
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Zip | 33073-5104
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Country | US
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Telephone | 954-854-9325
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Fax | 954-427-9012
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Provider Business Mailing Address
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Address Line | 4280 BANYAN TRAILS DR
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City | COCONUT CREEK
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State | FL
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Zip | 33073-5104
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Country | US
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Telephone | 954-854-9325
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Fax | 954-427-9012
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Authorized Official
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Title or Position | MANAGER
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Name | MR. VINCENT MAURICE JONES
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Credential |
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Telephone | 954-854-9325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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