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General NPI Number Information
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NPI Number | 1497116701
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Entity Type | Organization
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Legal Business Name | TIMOTHY H. JONES, M.D., INC.
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6621 BAY LAUREL PL STE A
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City | AVILA BEACH
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State | CA
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Zip | 93424-3504
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Country | US
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Telephone | 805-556-7006
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Fax | 805-439-1482
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Provider Business Mailing Address
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Address Line | 302 VISTA DEL MAR AVE
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City | SHELL BEACH
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State | CA
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Zip | 93449-1833
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Country | US
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Telephone | 805-478-6711
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Fax |
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | DR. TIMOTHY HOLLISTER JONES
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Credential |
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Telephone | 805-478-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | CA
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