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General NPI Number Information
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NPI Number | 1619181062
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Entity Type | Individual
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Provider Name | LOREN M JONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 45 PINE ST
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City | LANGLEY AFB
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State | VA
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Zip | 23665-2025
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Country | US
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Telephone | 757-764-9631
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Fax | 757-764-7329
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Provider Business Mailing Address
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Address Line | 45 PINE ST
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City | LANGLEY AFB
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State | VA
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Zip | 23665-2025
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Country | US
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Telephone | 757-764-9631
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Fax | 757-764-7329
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01052836A
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License Number State | IN
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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 | 0101253017
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License Number State | VA
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