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General NPI Number Information
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NPI Number | 1801132584
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Entity Type | Individual
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Provider Name | BRAD WYNN JONES PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 3969 ADAMS ST APT.K233
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City | CARLSBAD
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State | CA
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Zip | 92008-3570
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Country | US
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Telephone | 916-952-6486
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Fax |
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Provider Business Mailing Address
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Address Line | 3969 ADAMS ST APT. K233
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City | CARLSBAD
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State | CA
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Zip | 92008-3570
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Country | US
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Telephone | 916-952-6486
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH 66136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2747
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License Number State | HI
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