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General NPI Number Information
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NPI Number | 1942205570
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Entity Type | Individual
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Provider Name | DANIEL C JONES PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 919 MEDICAL PARK DR
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City | MOUNTAIN CITY
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State | TN
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Zip | 37683-1042
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Country | US
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Telephone | 423-727-7800
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Fax | 423-727-2498
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Provider Business Mailing Address
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Address Line | 12201 BLUEGRASS PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40299-2361
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Country | US
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Telephone | 502-568-7366
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Fax | 502-568-7114
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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 | PA9120107
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License Number State | FL
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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 | 1107
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License Number State | TN
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