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General NPI Number Information
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NPI Number | 1700822533
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Entity Type | Individual
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Provider Name | ELIZABETH ANN JONES M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 434 N WEST ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-1359
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Country | US
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Telephone | 573-768-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 WALNUT RIDGE DR
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City | HIGH RIDGE
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State | MO
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Zip | 63049-2972
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Country | US
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Telephone | 636-376-5078
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2010003285
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License Number State | MO
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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 | 036081874
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2010003285
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License Number State | MO
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