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NPI 1982052015

NPI 1982052015 : KEVIN J JONES PHARMD : MONTGOMERY, AL

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General NPI Number Information
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    NPI Number           |    1982052015
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN J JONES PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2016
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    Last Update Date     |    08/17/2018
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Provider Practice Location Address
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    Address Line         |    4385 NARROW LANE RD 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36116
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    Country              |    US
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    Telephone            |    334-286-5374
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    Fax                  |    334-286-5385
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Provider Business Mailing Address
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    Address Line         |    4385 NARROW LANE ROAD 
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    City                 |    MONTGOMERY
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    State                |    AK
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    Zip                  |    36830
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    Country              |    US
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    Telephone            |    334-286-5374
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    Fax                  |    334-286-5385
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    16264
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    16264
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    License Number State |    AL
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Taxonomy #3
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    Taxonomy Code        |    1835P1300X
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    Taxonomy Name        |    Psychiatric Pharmacist
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    License Number       |    16264
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    License Number State |    AL
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