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General NPI Number Information
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NPI Number | 1861872079
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Entity Type | Organization
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Legal Business Name | CJMH,LLC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 800 PROFESSIONAL ACRES DR
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City | JONESBORO
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State | AR
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Zip | 72401-4340
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Country | US
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Telephone | 870-926-2191
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Fax |
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Provider Business Mailing Address
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Address Line | 800 PROFESSIONAL ACRES DR
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City | JONESBORO
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State | AR
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Zip | 72401-4340
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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 | BART C JONES
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Credential | OD
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Telephone | 870-333-1087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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