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General NPI Number Information
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NPI Number | 1952944399
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Entity Type | Individual
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Provider Name | KEVIN RAY JONES NP-C
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Gender | Male
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 6040 CARRIE LN
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City | BEAUMONT
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State | TX
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Zip | 77713-4192
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Country | US
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Telephone | 409-728-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 CARRIE LN
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City | BEAUMONT
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State | TX
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Zip | 77713-4192
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Country | US
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Telephone | 409-728-8899
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11020259
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 32087
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License Number State | TX
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