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General NPI Number Information
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NPI Number | 1598743973
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Entity Type | Individual
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Provider Name | ALAN C JONES D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 576 E HIGHWAY 138 SUITE 210
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City | STANSBURY PARK
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State | UT
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Zip | 84074-4028
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Country | US
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Telephone | 801-893-4905
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Fax | 801-849-1801
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Provider Business Mailing Address
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Address Line | 576 E HIGHWAY 138 SUITE 210
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City | STANSBURY PARK
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State | UT
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Zip | 84074-4028
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Country | US
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Telephone | 801-893-4905
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Fax | 801-849-1801
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 1143
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 6004387-1204
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License Number State | UT
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