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General NPI Number Information
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NPI Number | 1639524358
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Entity Type | Individual
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Provider Name | RICKY HAROLD JONES JR. DO
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Gender | Male
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 3700 S MAIN ST
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City | BLACKSBURG
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State | VA
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Zip | 24060-7017
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Country | US
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Telephone | 423-213-2491
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Fax |
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Provider Business Mailing Address
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Address Line | 3337 BOONES CREEK VILLAGE CT
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City | JONESBOROUGH
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State | TN
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Zip | 37659
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Country | US
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Telephone | 423-213-2491
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0102205260
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102205260
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License Number State | VA
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