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General NPI Number Information
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NPI Number | 1467595553
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Entity Type | Organization
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Legal Business Name | MICHAEL E JONES MD PA
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 1121 BRIARCREST DR SUITE 303
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City | BRYAN
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State | TX
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Zip | 77802-2505
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Country | US
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Telephone | 979-774-1500
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Fax | 979-774-7160
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Provider Business Mailing Address
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Address Line | 1121 BRIARCREST DR SUITE 303
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City | BRYAN
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State | TX
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Zip | 77802-2505
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Country | US
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Telephone | 979-774-1500
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Fax | 979-774-7160
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ROXIE N RODRIGUEZ
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Credential |
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Telephone | 979-774-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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