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General NPI Number Information
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NPI Number | 1811303225
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Entity Type | Organization
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Legal Business Name | CAL JONES LLC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 961 MONTEBELLO DR SUITE 2
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City | GREENVILLE
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State | SC
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Zip | 29609
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Country | US
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Telephone | 864-553-2276
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Fax |
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Provider Business Mailing Address
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Address Line | 21 WEATHERBY DR
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City | GREENVILLE
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State | SC
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Zip | 29615-5807
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Country | US
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Telephone | 864-553-2276
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL E CALNAN
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Credential | RPH
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Telephone | 864-553-2276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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