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General NPI Number Information
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NPI Number | 1700057890
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Entity Type | Organization
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Legal Business Name | STANLEY B JONES,
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 7324 GASTON AVE STE 123
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City | DALLAS
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State | TX
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Zip | 75214-6190
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Country | US
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Telephone | 214-821-0200
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Fax | 214-821-0201
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Provider Business Mailing Address
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Address Line | 7324 GASTON AVE. #123
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City | DALLAS
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State | TX
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Zip | 75214-6194
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Country | US
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Telephone | 214-821-0200
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Fax | 214-821-0201
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STANLEY BURTON JONES
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Credential | OPTICIAN
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Telephone | 214-821-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DR4033
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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