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NPI 1720323249

NPI 1720323249 : HEATHER E JONES DPM : LONDON, KY

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General NPI Number Information
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    NPI Number           |    1720323249
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER E JONES DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/10/2012
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    Last Update Date     |    03/15/2023
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Provider Practice Location Address
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    Address Line         |    1105 W 5TH ST SUITE #3
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    City                 |    LONDON
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    State                |    KY
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    Zip                  |    40741-1610
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    Country              |    US
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    Telephone            |    606-862-9900
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    Fax                  |    606-862-8901
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Provider Business Mailing Address
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    Address Line         |    205 S KENTUCKY AVE 
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    City                 |    CORBIN
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    State                |    KY
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    Zip                  |    40701-1533
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    Country              |    US
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    Telephone            |    606-280-7131
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    Fax                  |    606-641-0172
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    00412
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    License Number State |    KY
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