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General NPI Number Information
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NPI Number | 1568522274
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Entity Type | Organization
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Legal Business Name | ALAN M JONES OD PA
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 4851 W HILLSBORO BLVD A-6
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4355
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Country | US
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Telephone | 954-427-1449
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Fax | 954-427-1458
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Provider Business Mailing Address
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Address Line | 4851 W HILLSBORO BLVD A-6
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4355
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Country | US
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Telephone | 954-427-1449
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Fax | 954-427-1458
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ALAN MARTIN JONES
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Credential | OD
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Telephone | 954-427-1449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1843
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License Number State | FL
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