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General NPI Number Information
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NPI Number | 1730188426
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Entity Type | Organization
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Legal Business Name | ROYCE E. JONES & JOHN D. CALEY PTR
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2100 N DR MARTIN LUTHER KING JR BLVD
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City | CLOVIS
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State | NM
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Zip | 88101-9412
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Country | US
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Telephone | 573-686-5550
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Fax | 573-686-2139
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Provider Business Mailing Address
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Address Line | 105 WRANGLER WAY
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City | CLOVIS
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State | NM
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Zip | 88101-9361
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Country | US
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Telephone | 573-686-5550
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Fax | 573-686-2139
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARCUS REYES
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Credential | CRNA
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Telephone | 573-686-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | NM
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