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General NPI Number Information
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NPI Number | 1669801569
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Entity Type | Individual
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Provider Name | CHAD JONES DDS
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Gender | Male
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 55 M ST SE STE 103
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City | WASHINGTON
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State | DC
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Zip | 20003-3522
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Country | US
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Telephone | 202-670-4882
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Fax | 202-600-2837
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Provider Business Mailing Address
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Address Line | 55 M ST SE STE 103
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City | WASHINGTON
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State | DC
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Zip | 20003-3563
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Country | US
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Telephone | 202-670-4882
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Fax | 202-600-2837
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15625
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN1001335
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License Number State | DC
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