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General NPI Number Information
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NPI Number | 1447803325
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Entity Type | Individual
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Provider Name | SHERI JONES DDS
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Gender | Female
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 1227 W FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3681
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Country | US
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Telephone | 772-284-1742
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12865
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City | FORT PIERCE
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State | FL
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Zip | 34979-2865
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 104093
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License Number State | CA
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