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General NPI Number Information
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NPI Number | 1558583898
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Entity Type | Organization
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Legal Business Name | MARK A. JONES DPM, LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 25 E SCHAUMBURG RD STE 110
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3548
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Country | US
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Telephone | 847-352-1473
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Fax | 847-352-1479
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Provider Business Mailing Address
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Address Line | 25 E SCHAUMBURG RD STE 110
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3548
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Country | US
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Telephone | 847-352-1473
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Fax | 847-352-1479
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Authorized Official
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Title or Position | OWNER
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Name | MARK ALAN JONES
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Credential | DPM
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Telephone | 847-352-1473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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