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General NPI Number Information
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NPI Number | 1548454226
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Entity Type | Organization
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Legal Business Name | KENDALL M. JONES MD PA
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 3060 COMMUNICATIONS PKWY SUITE 103
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City | PLANO
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State | TX
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Zip | 75093-8449
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Country | US
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Telephone | 972-312-9944
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 797307
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City | DALLAS
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State | TX
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Zip | 75379-7307
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Country | US
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Telephone | 972-312-9944
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | KENDALL M JONES
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Credential | MD
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Telephone | 972-312-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | J2622
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License Number State | TX
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