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General NPI Number Information
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NPI Number | 1962681239
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Entity Type | Organization
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Legal Business Name | ROBERT L JONES MD INC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 1401 AVOCADO STREET SUITE 505
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-8722
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Country | US
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Telephone | 949-644-0239
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Fax | 949-644-0461
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Provider Business Mailing Address
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Address Line | 1401 AVOCADO STREET SUITE 505
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-8722
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Country | US
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Telephone | 949-644-0239
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Fax | 949-644-0461
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Authorized Official
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Title or Position | MD OPHTHALMOLOGIST
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Name | DR. ROBERT L JONES
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Credential | MD
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Telephone | 949-644-0239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G51540
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License Number State | CA
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