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General NPI Number Information
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NPI Number | 1447810841
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Entity Type | Individual
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Provider Name | DANIEL LAWRENCE JONES MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 805 BROADWAY STE 106
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City | AMITYVILLE
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State | NY
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Zip | 11701-2260
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Country | US
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Telephone | 855-295-4144
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Fax |
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Provider Business Mailing Address
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Address Line | 125 KENNEDY DR STE 400
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City | HAUPPAUGE
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State | NY
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Zip | 11788-4017
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Country | US
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Telephone | 855-295-4144
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 330243
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License Number State | NY
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