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General NPI Number Information
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NPI Number | 1790718955
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Entity Type | Organization
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Legal Business Name | DANIEL H. JONES, O.D., P.C.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 GRAVES ST
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-3071
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Country | US
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Telephone | 660-707-1948
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Fax | 660-707-1969
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Provider Business Mailing Address
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Address Line | 306 E 2ND ST
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City | LAWSON
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State | MO
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Zip | 64062-9347
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Country | US
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Telephone | 660-707-1948
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Fax | 660-707-1969
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL H. JONES
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Credential | O.D.
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Telephone | 816-813-6815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TO2812
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License Number State | MO
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