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General NPI Number Information
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NPI Number | 1487091997
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Entity Type | Individual
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Provider Name | JASON WAYNE JONES RPA
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Gender | Male
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 205 N EAST AVE
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City | JACKSON
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State | MI
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Zip | 49201-1753
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Country | US
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Telephone | 517-788-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S BROWN ST P.O. BOX 905
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City | JACKSON
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State | MI
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Zip | 49203-1428
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Country | US
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Telephone | 517-783-2612
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Fax | 517-783-6095
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number |
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License Number State |
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