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General NPI Number Information
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NPI Number | 1689501280
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Entity Type | Organization
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Legal Business Name | LONESTAR MEDICAL LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 5315 S 500 E STE A
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City | WASHINGTON TERRACE
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State | UT
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Zip | 84405-4772
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Country | US
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Telephone | 435-246-1814
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Fax | 435-355-3705
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Provider Business Mailing Address
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Address Line | 5315 S 500 E STE A
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City | WASHINGTON TERRACE
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State | UT
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Zip | 84405-4772
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Country | US
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Telephone | 435-246-1814
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Fax | 435-355-3705
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | DAVID GARRETT JONES
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Credential | DMSC, PA-C
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Telephone | 409-781-6143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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