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NPI 1700402252

NPI 1700402252 : JAMIE JONES DDS : GAHANNA, OH

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General NPI Number Information
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    NPI Number           |    1700402252
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    Entity Type          |    Individual 
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    Provider Name        |    JAMIE JONES DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2020
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    Last Update Date     |    06/21/2020
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Provider Practice Location Address
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    Address Line         |    305 S HAMILTON RD 
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    City                 |    GAHANNA
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    State                |    OH
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    Zip                  |    43230-3349
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    Country              |    US
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    Telephone            |    614-333-6046
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 W GOODALE ST APT 465 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43215-1908
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    Country              |    US
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    Telephone            |    330-720-3446
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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       |    30.026155
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    License Number State |    OH
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