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General NPI Number Information
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NPI Number | 1699948075
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Entity Type | Organization
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Legal Business Name | DR KENNETH D JONES JR INC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 720 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-1552
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Country | US
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Telephone | 419-756-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 720 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-1552
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. KENNETH D JONES
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Credential |
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Telephone | 419-756-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 013690
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License Number State | OH
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