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General NPI Number Information
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NPI Number | 1831397884
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Entity Type | Individual
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Provider Name | MICHAEL DEAN JONES N.P.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 4182 TONYA TRL
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City | HAMILTON
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State | OH
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Zip | 45011-8549
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Country | US
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Telephone | 513-737-1999
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Fax | 513-887-0123
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Provider Business Mailing Address
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Address Line | PO BOX 644836
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City | PITTSBURGH
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State | PA
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Zip | 15264-4836
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Country | US
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Telephone | 513-557-4260
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Fax | 513-557-3214
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.09471-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 272088-COA1
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License Number State | OH
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