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General NPI Number Information
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NPI Number | 1487068235
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Entity Type | Organization
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Legal Business Name | JONES FM-1960 DENTAL, P.C.
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 06/19/2014
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Provider Practice Location Address
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Address Line | 11007 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-6301
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Country | US
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Telephone | 281-894-9800
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Fax | 281-894-8800
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Provider Business Mailing Address
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Address Line | 11007 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-6301
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Country | US
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Telephone | 281-894-9800
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Fax | 281-894-8800
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH NORMAN
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Credential | DDS
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Telephone | 281-894-9800
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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 | 26215
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License Number State | TX
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