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General NPI Number Information
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NPI Number | 1649695545
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Entity Type | Organization
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Legal Business Name | RICHARD T. JONES, DDS, PS
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 18550 FIRLANDS WAY N STE 300
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City | SHORELINE
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State | WA
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Zip | 98133-3984
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Country | US
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Telephone | 206-542-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 18550 FIRLANDS WAY N STE 300
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City | SHORELINE
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State | WA
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Zip | 98133-3984
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Country | US
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Telephone | 206-542-6188
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Fax |
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | TERI JONES
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Credential |
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Telephone | 206-542-6188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE 00005843
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License Number State | WA
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