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General NPI Number Information
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NPI Number | 1487858155
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Entity Type | Organization
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Legal Business Name | DAVID I. JONES, O.D., P.C.
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 57 E 1000 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-1200
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Country | US
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Telephone | 801-423-6516
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Fax | 801-798-2707
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Provider Business Mailing Address
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Address Line | 57 E 1000 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-1200
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Country | US
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Telephone | 801-423-6516
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Fax | 801-798-2707
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Authorized Official
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Title or Position | DR.
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Name | DR. DAVID IVAN JONES
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Credential | O.D.
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Telephone | 801-423-6516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 362409-9934
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License Number State | UT
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