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General NPI Number Information
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NPI Number | 1720063282
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Entity Type | Individual
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Provider Name | BRIAN DAVID JONES MPT
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 410 N MALACATE ST
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City | AJO
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State | AZ
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Zip | 85321-2253
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Country | US
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Telephone | 520-387-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N MALACATE ST
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City | AJO
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State | AZ
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Zip | 85321-2254
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Country | US
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Telephone | 623-289-1916
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Fax | 520-387-6036
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10157
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-012616L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-008464
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License Number State | AZ
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