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General NPI Number Information
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NPI Number | 1750603007
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Entity Type | Individual
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Provider Name | SHERMNAE DEMETRICE JONES D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 3271 HIGHWAY 5 STE E
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2384
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Country | US
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Telephone | 678-487-5538
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Fax |
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Provider Business Mailing Address
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Address Line | 3271 HIGHWAY 5 STE E
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2384
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Country | US
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Telephone | 678-487-5538
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3752
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 057112
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS9102
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN015086
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License Number State | GA
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