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General NPI Number Information
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NPI Number | 1740938083
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Entity Type | Individual
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Provider Name | KELVIN JONES APRN
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Gender | Male
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY STE 208
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City | DALLAS
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State | TX
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Zip | 75231-8600
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Country | US
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Telephone | 214-317-3689
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Fax |
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Provider Business Mailing Address
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Address Line | 1715 CEDAR HILL RD
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City | DUNCANVILLE
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State | TX
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Zip | 75137-3809
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Country | US
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Telephone | 214-317-3689
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 711700
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License Number State | TX
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