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General NPI Number Information
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NPI Number | 1700883402
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Entity Type | Individual
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Provider Name | THOMAS ELIAS BLAIR JONES MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 128 HIGHWAY 71 N
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City | DE QUEEN
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State | AR
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Zip | 71832-3706
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Country | US
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Telephone | 870-642-8961
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Fax | 870-642-2171
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Provider Business Mailing Address
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Address Line | 128 HIGHWAY 71 N
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City | DE QUEEN
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State | AR
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Zip | 71832-3706
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Country | US
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Telephone | 870-642-8961
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Fax | 870-642-2171
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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 | E0842
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License Number State | AR
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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 | 19680
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License Number State | OK
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