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General NPI Number Information
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NPI Number | 1972782811
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Entity Type | Individual
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Provider Name | ERNEST BOYD JONES JR.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2007
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 47 ROWLEY ST APT 2
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City | ROCHESTER
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State | NY
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Zip | 14607-2619
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Country | US
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Telephone | 585-820-2937
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Fax | 585-271-7948
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Provider Business Mailing Address
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Address Line | 93 ESTALL RD APT 2
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City | ROCHESTER
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State | NY
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Zip | 14616-3844
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Country | US
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Telephone | 585-354-4585
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Fax | 585-527-8849
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 285334-1
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License Number State | NY
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