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General NPI Number Information
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NPI Number | 1629868336
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Entity Type | Organization
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Legal Business Name | JONES FOOT & ANKLE LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2845 E OVERLAND RD STE 150
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City | MERIDIAN
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State | ID
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Zip | 83642-9436
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Country | US
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Telephone | 208-404-2262
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Fax | 208-268-8890
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Provider Business Mailing Address
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Address Line | PO BOX 45128
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City | BOISE
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State | ID
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Zip | 83711-5128
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Country | US
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Telephone | 208-404-2262
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Fax | 208-268-8890
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Authorized Official
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Title or Position | OWNER
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Name | STEWART OWEN JONES
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Credential | DPM
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Telephone | 208-404-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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