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General NPI Number Information
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NPI Number | 1578736674
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Entity Type | Organization
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Legal Business Name | THOMAS E. B. JONES, M.D.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 128 HIGHWAY 71 N
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City | DE QUEEN
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State | AR
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Zip | 71832-3706
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Country | US
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Telephone | 870-642-8961
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Fax |
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Provider Business Mailing Address
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Address Line | 128 HIGHWAY 71 N
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City | DE QUEEN
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State | AR
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Zip | 71832-3706
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Country | US
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Telephone | 870-642-8961
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS E.B. JONES
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Credential | M.D.
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Telephone | 870-642-8961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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