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General NPI Number Information
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NPI Number | 1407842636
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Entity Type | Individual
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Provider Name | TERRY L JONES PA C
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1841 E BARNETT RD
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City | MEDFORD
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State | OR
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Zip | 97504-8249
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Country | US
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Telephone | 541-216-7291
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Fax | 541-636-2163
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Provider Business Mailing Address
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Address Line | PO BOX 757
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City | NEWPORT
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State | OR
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Zip | 97365-0056
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00968
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License Number State | OR
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