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General NPI Number Information
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NPI Number | 1699336610
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Entity Type | Individual
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Provider Name | ERIC MICHAEL JONES DDS
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Gender | Male
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 202 E ROBINSON ST
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City | KNOXVILLE
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State | IA
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Zip | 50138-2235
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Country | US
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Telephone | 641-828-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 810 S 5TH ST
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City | KNOXVILLE
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State | IA
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Zip | 50138-2104
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Country | US
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Telephone | 641-218-9940
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS-09658
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License Number State | IA
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