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General NPI Number Information
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NPI Number | 1932294485
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Entity Type | Individual
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Provider Name | GREGORY A JONAS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1525 W. LAKE LANSING
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City | EAST LANSING
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State | MI
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Zip | 48823
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Country | US
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Telephone | 517-336-5636
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Fax | 517-336-5638
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Provider Business Mailing Address
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Address Line | 13121 WILLOW GROVE DR
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City | DEWITT
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State | MI
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Zip | 48820
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Country | US
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Telephone | 517-669-8593
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Fax | 517-336-5638
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302410912
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License Number State | MI
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