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General NPI Number Information
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NPI Number | 1578104493
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Entity Type | Individual
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Provider Name | WILLIAM MARK JONES RPH
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Gender | Male
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 615 W NURSERY ST
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City | BUTLER
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State | MO
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Zip | 64730-1840
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Country | US
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Telephone | 660-200-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 KETTERING LN
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City | RAYMORE
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State | MO
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Zip | 64083-7300
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Country | US
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Telephone | 660-227-1139
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 029463
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License Number State | MO
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