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General NPI Number Information
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NPI Number | 1649695552
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Entity Type | Individual
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Provider Name | JOSEPH REUBEN JONES DMD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 2220 WISTERIA DR STE 300
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City | SNELLVILLE
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State | GA
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Zip | 30078
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Country | US
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Telephone | 678-836-2107
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Fax | 770-643-4303
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Provider Business Mailing Address
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Address Line | 101 WILDWOOD CT
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City | ATHENS
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State | GA
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Zip | 30606-4956
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Country | US
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Telephone | 706-206-0350
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN014826
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License Number State | GA
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