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NPI 1407838246

NPI 1407838246 : JOEL M. JONES D.O. : YORKTOWN, VA

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General NPI Number Information
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    NPI Number           |    1407838246
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL M. JONES D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/17/2005
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    Last Update Date     |    04/26/2021
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Provider Practice Location Address
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    Address Line         |    209 VILLAGE AVE STE P 
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    City                 |    YORKTOWN
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    State                |    VA
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    Zip                  |    23693-5639
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    Country              |    US
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    Telephone            |    757-316-5050
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    Fax                  |    757-369-2999
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Provider Business Mailing Address
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    Address Line         |    856 J CLYDE MORRIS BLVD STE A 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23601-1318
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    Country              |    US
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    Telephone            |    757-316-5800
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    Fax                  |    757-534-5190
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    A107197
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    0102203384
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    License Number State |    VA
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