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General NPI Number Information
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NPI Number | 1639162092
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Entity Type | Individual
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Provider Name | CHRISTOPHER ALAN JONES PA C
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 625 TAMIAMI TRL N STE 103
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-643-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 625 TAMIAMI TRL N STE 103
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-643-9977
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Fax | 239-643-3424
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001000163
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 9100972
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License Number State | FL
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