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General NPI Number Information
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NPI Number | 1467539213
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Entity Type | Organization
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Legal Business Name | THE JONES CLINIC, PC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 STATE HIGHWAY 30 W 5TH FLOOR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3112
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Country | US
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Telephone | 662-538-2525
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Fax | 662-534-2882
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT 552
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 901-685-5969
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Fax | 901-685-6424
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLYDE MICHAEL JONES
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Credential | M.D.
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Telephone | 901-685-5969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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