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General NPI Number Information
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NPI Number | 1417183633
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Entity Type | Individual
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Provider Name | WESLEY BLAKE JONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 800 PRUDENTIAL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8211
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Country | US
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Telephone | 904-202-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 77 N AIRLITE ST DEPARTMENT OF PATHOLOGY
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City | ELGIN
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State | IL
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Zip | 60123-4912
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Country | US
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Telephone | 847-695-3200
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Fax | 847-931-5778
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 036130363
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | ME128023
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 81350
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036130363
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 81350
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME128023
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License Number State | FL
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