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General NPI Number Information
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NPI Number | 1023916806
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Entity Type | Organization
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Legal Business Name | SJT VENTURES TX PC
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Dates
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Enumeration Date | 10/30/2026
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Last Update Date | 10/30/2026
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 949-688-3903
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Fax |
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Provider Business Mailing Address
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Address Line | 17595 HARVARD AVE STE C3350
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City | IRVINE
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State | CA
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Zip | 92614-8516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANJAI THANKACHEN
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Credential |
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Telephone | 949-688-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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