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General NPI Number Information
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NPI Number | 1619159704
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Entity Type | Organization
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Legal Business Name | SHERYL JONES MD PC
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 1835 UNION AVE SUITE 321
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City | MEMPHIS
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State | TN
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Zip | 38104-3921
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Country | US
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Telephone | 901-722-5534
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Fax | 901-722-5581
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Provider Business Mailing Address
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Address Line | 600 S MAIN ST #302
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City | MEMPHIS
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State | TN
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Zip | 38103-4830
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Country | US
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Telephone | 901-219-8224
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHERYL DENISE JONES
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Credential | M.D.
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Telephone | 901-219-8224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 034274
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License Number State | TN
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