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General NPI Number Information
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NPI Number | 1437802220
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Entity Type | Individual
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Provider Name | MR. MARCUS L JONES JR.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 9449 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-2814
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2819 E 63RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64130-3749
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Country | US
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Telephone | 816-223-2729
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | X6M6T7E8
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License Number State | MO
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