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NPI 1477629863

NPI 1477629863 : DAVID JONES DDS : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1477629863
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID JONES DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/28/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3001 S LAMAR BLVD SUITE 100
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78704-8863
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    Country              |    US
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    Telephone            |    512-442-0101
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    Fax                  |    512-442-3504
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Provider Business Mailing Address
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    Address Line         |    3701 KIRBY DR SUITE 550
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-3900
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    Country              |    US
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    Telephone            |    512-442-0101
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    Fax                  |    512-442-3504
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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       |    11824
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    License Number State |    TX
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