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General NPI Number Information
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NPI Number | 1588027759
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Entity Type | Organization
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Legal Business Name | KEITH JONES APRN LLC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 102
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City | BOCA RATON
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State | FL
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Zip | 33431-4500
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Country | US
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Telephone | 561-347-1112
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Fax | 561-368-0459
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Provider Business Mailing Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 102
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City | BOCA RATON
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State | FL
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Zip | 33431-4500
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Country | US
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Telephone | 561-347-1112
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Fax | 561-368-0459
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEITH JONES
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Credential | APRN
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Telephone | 954-309-5168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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