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General NPI Number Information
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NPI Number | 1679538466
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Entity Type | Individual
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Provider Name | ERIK S JONES D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 222 N 2ND ST SUITE 202
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City | BOISE
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State | ID
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Zip | 83702-6109
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Country | US
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Telephone | 208-344-6080
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Fax | 208-344-6079
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Provider Business Mailing Address
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Address Line | 222 N 2ND ST STE 202
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City | BOISE
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State | ID
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Zip | 83702-6130
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Country | US
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Telephone | 208-344-6080
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Fax | 208-344-6079
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | O166
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License Number State | ID
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