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General NPI Number Information
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NPI Number | 1699768176
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Entity Type | Individual
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Provider Name | DANIEL W JONES MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 290 MAIN ST NW STE 100
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City | ELK RIVER
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State | MN
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Zip | 55330-1251
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Country | US
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Telephone | 763-241-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55104-3727
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Country | US
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Telephone | 763-241-7296
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M8904
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53589
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License Number State | MN
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