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General NPI Number Information
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NPI Number | 1811190655
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Entity Type | Organization
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Legal Business Name | GREGORY C. JONES, PSC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1745 27TH STREET WOUND HEALING CENTER
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City | PORTSMOUTH
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-356-8775
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Fax | 740-356-6322
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Provider Business Mailing Address
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Address Line | 4305 VAN THOMPSON RD
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City | OWINGSVILLE
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State | KY
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Zip | 40360-7057
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY C JONES
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Credential | M.D.
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Telephone | 740-356-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35045103
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License Number State | OH
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