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General NPI Number Information
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NPI Number | 1962462176
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Entity Type | Organization
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Legal Business Name | JONES SURGICAL ASSOCIATES LLP
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1820 BARRS STREET SUITE 630
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4747
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Country | US
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Telephone | 904-384-8562
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Fax | 904-384-3547
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Provider Business Mailing Address
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Address Line | 1820 BARRS STREET SUITE 630
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4747
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Country | US
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Telephone | 904-384-8562
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Fax | 904-384-3547
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH W JONES
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Credential | M.D.
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Telephone | 904-384-8562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME00068562
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License Number State | FL
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