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General NPI Number Information
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NPI Number | 1689859076
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Entity Type | Organization
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Legal Business Name | DR. JIMMIE L JONES DC PC
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 5122 PASADENA AVE
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City | FLUSHING
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State | MI
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Zip | 48433-2417
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Country | US
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Telephone | 810-733-0139
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Fax | 810-733-0512
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Provider Business Mailing Address
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Address Line | 5122 PASADENA AVE
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City | FLUSHING
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State | MI
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Zip | 48433-2417
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Country | US
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Telephone | 810-733-0139
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Fax | 810-733-0512
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JIMMIE LEON JONES
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Credential | DC
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Telephone | 810-733-0139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301004430
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License Number State | MI
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