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NPI 1689883464

NPI 1689883464 : YIAN JIN JONES M.D. : SIOUX CITY, IA

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General NPI Number Information
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    NPI Number           |    1689883464
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    Entity Type          |    Individual 
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    Provider Name        |    YIAN JIN JONES M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/21/2007
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    Last Update Date     |    04/07/2015
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Provider Practice Location Address
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    Address Line         |    4405 HAMILTON BLVD 
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    City                 |    SIOUX CITY
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    State                |    IA
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    Zip                  |    51104-1140
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    Country              |    US
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    Telephone            |    712-239-3937
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    Fax                  |    712-239-4946
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Provider Business Mailing Address
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    Address Line         |    4405 HAMILTON BLVD 
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    City                 |    SIOUX CITY
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    State                |    IA
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    Zip                  |    51104-1140
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    Country              |    US
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    Telephone            |    712-239-3937
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    Fax                  |    712-239-4946
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    7496
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    License Number State |    SD
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    38529
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    License Number State |    IA
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