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General NPI Number Information
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NPI Number | 1639157134
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Entity Type | Individual
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Provider Name | CRAIG TAYLOR JONES PHYSICIAN ASST.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CAMP PENDLETON NAVAL HOSPITAL BLDG H100 ATTN: CODE 094 ,
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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Country | US
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Telephone | 928-269-6091
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Fax | 928-269-3184
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Provider Business Mailing Address
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Address Line | PO BOX 555191 ATTN: CODE 094
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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Country | US
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Telephone | 928-269-6091
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Fax | 928-269-3184
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1041830
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License Number State |
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