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General NPI Number Information
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NPI Number | 1871516724
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Entity Type | Individual
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Provider Name | BARRY WEBB JONES JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 712 S COIT ST
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City | FLORENCE
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State | SC
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Zip | 29501-5113
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Country | US
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Telephone | 843-667-4300
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Fax | 843-667-0709
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Provider Business Mailing Address
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Address Line | 712 S COIT ST
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City | FLORENCE
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State | SC
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Zip | 29501-5113
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Country | US
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Telephone | 843-667-4300
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Fax | 843-667-0709
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 1941
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 1941
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License Number State | SC
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