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General NPI Number Information
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NPI Number | 1912376104
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Entity Type | Individual
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Provider Name | RICHARD ALAN JONES JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 9576 HWY 70
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City | MINOCQUA
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State | WI
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Zip | 54548-9067
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Country | US
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Telephone | 715-358-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5554 S EDGEBERRY DR
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City | MURRAY
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State | UT
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Zip | 84123-7939
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Country | US
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Telephone | 541-701-4822
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 024950
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9113223
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4802
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.006414RX
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4128
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9515458-1206
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License Number State | UT
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110-007165
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601009907
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3545
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License Number State | SC
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Taxonomy #10
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8511
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License Number State | WI
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