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General NPI Number Information
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NPI Number | 1821414616
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Entity Type | Organization
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Legal Business Name | JEFFREY D. CONE, JR., M.D., P.A.
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 7777 FOREST LN BUILDING B, SUITE 107
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 813-944-9662
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Fax |
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Provider Business Mailing Address
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Address Line | 4210 NORMANDY AVE
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City | DALLAS
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State | TX
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Zip | 75205-2040
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Country | US
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Telephone | 813-944-9662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY DONALD CONE JR.
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Credential | M.D.
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Telephone | 813-944-9662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | P5350
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License Number State | TX
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