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General NPI Number Information
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NPI Number | 1659880847
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Entity Type | Organization
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Legal Business Name | JONES MEDICAL AND EDUCATIONAL CONSULTANTS
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 8954 HOSPITAL DR BLDG C
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-2200
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Country | US
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Telephone | 770-947-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 4635 REGENCY TRCE SW
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City | ATLANTA
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State | GA
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Zip | 30331-6829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLING SPECIALIST
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Name | CHERYL CRAYDEN
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Credential |
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Telephone | 330-684-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 047462
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License Number State | GA
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