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General NPI Number Information
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NPI Number | 1487142188
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Entity Type | Individual
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Provider Name | QUINTON D JONES SLP-CCC
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Gender | Male
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 1410 W DAISY L GATSON BATES DR
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City | LITTLE ROCK
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State | AR
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Zip | 72202-5434
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Country | US
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Telephone | 501-313-5331
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Fax | 501-891-6195
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Provider Business Mailing Address
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Address Line | 8604 SHELLEY DR
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City | LITTLE ROCK
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State | AR
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Zip | 72209-5031
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Country | US
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Telephone | 501-515-3299
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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