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General NPI Number Information
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NPI Number | 1639934912
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Entity Type | Individual
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Provider Name | JAKIRON SHEFFIELD - JONES
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Gender | Male
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 1313 N BELT LINE RD STE 102
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City | MESQUITE
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State | TX
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Zip | 75149-1784
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Country | US
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Telephone | 972-289-0691
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ROLLING HILLS LN
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City | DESOTO
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State | TX
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Zip | 75115-1532
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Country | US
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Telephone | 903-387-8611
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1389773
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License Number State | TX
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