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NPI 1902188931

NPI 1902188931 : ANTONIA JONES DDS, MS : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1902188931
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    Entity Type          |    Individual 
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    Provider Name        |    ANTONIA JONES DDS, MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2011
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    Last Update Date     |    01/29/2020
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Provider Practice Location Address
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    Address Line         |    14707 CALIFORNIA ST STE 8
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68154-1933
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    Country              |    US
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    Telephone            |    402-218-2397
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14707 CALIFORNIA ST STE 8
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68154-1933
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    Country              |    US
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    Telephone            |    402-498-5800
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    Fax                  |    402-492-9031
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    7348
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    License Number State |    NE
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