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General NPI Number Information
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NPI Number | 1598965006
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Entity Type | Individual
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Provider Name | PAUL BERNARD JONES MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 06/16/2019
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Provider Practice Location Address
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Address Line | 7402 DAVIDSON CIR W
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City | STOCKBRIDGE
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State | GA
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Zip | 30281
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Country | US
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Telephone | 770-919-5238
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Fax | 770-954-5168
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Provider Business Mailing Address
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Address Line | 7402 DAVIDSON CIR W
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City | STOCKBRIDGE
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State | GA
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Zip | 30281
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Country | US
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Telephone | 770-919-5238
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Fax | 770-954-5168
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35.094050
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 66855
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License Number State | GA
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