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General NPI Number Information
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NPI Number | 1528585700
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Entity Type | Organization
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Legal Business Name | ANNA R. JONES, DDS, LLC
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 18110 E US HIGHWAY 24
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City | INDEPENDENCE
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State | MO
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Zip | 64056-1170
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Country | US
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Telephone | 816-796-9366
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Fax | 816-796-3443
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Provider Business Mailing Address
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Address Line | 2407 NE 2ND ST
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-1333
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Country | US
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Telephone | 816-820-0595
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Fax | 816-796-3443
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. ANNA RENEE JONES
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Credential | DDS
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Telephone | 816-820-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2011014512
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License Number State | MO
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