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General NPI Number Information
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NPI Number | 1629070248
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Entity Type | Individual
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Provider Name | RICHARD A JONES D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 721 S WASHINGTON ST POB 326
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City | BUNKER HILL
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State | IL
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Zip | 62014-1503
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Country | US
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Telephone | 618-585-3522
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Fax | 618-585-3523
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Provider Business Mailing Address
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Address Line | 9654 DETOUR RD
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City | BUNKER HILL
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State | IL
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Zip | 62014-2265
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Country | US
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Telephone | 618-585-3359
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Fax | 618-585-3523
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038009532
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License Number State | IL
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