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General NPI Number Information
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NPI Number | 1841789112
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Entity Type | Individual
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Provider Name | GREGORY DANIEL JONES MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1414 W FAIR AVE STE 249
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City | MARQUETTE
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State | MI
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Zip | 49855-5406
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Country | US
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Telephone | 906-449-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 301 EXPLORER ST
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City | GWINN
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State | MI
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Zip | 49841-2813
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Country | US
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Telephone | 906-483-1130
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Fax | 906-483-1394
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11410962-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301506488
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License Number State | MI
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