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General NPI Number Information
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NPI Number | 1669896825
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Entity Type | Organization
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Legal Business Name | CRAIG JONES, M.D. - EAR, NOSE & THROAT SURGERY, P.C.
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Dates
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Enumeration Date | 02/09/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 5 INDUSTRIAL DR SUITE 202
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City | MASHPEE
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State | MA
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Zip | 02649-3464
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Country | US
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Telephone | 508-539-2444
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Fax | 508-539-2445
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Provider Business Mailing Address
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Address Line | 5 INDUSTRIAL DR SUITE 202
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City | MASHPEE
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State | MA
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Zip | 02649-3464
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Country | US
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Telephone | 508-539-2444
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Fax | 508-539-2445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG A JONES
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Credential | M.D.
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Telephone | 508-539-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 203456
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License Number State | MA
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