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General NPI Number Information
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NPI Number | 1033685029
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Entity Type | Organization
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Legal Business Name | JLYB, LLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 120 N MESQUITE ST STE 5
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City | SAN ANTONIO
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State | TX
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Zip | 78202-2727
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Country | US
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Telephone | 210-860-6998
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 KNOLL SCHWOPE RD
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City | SPRING BRANCH
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State | TX
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Zip | 78070-6213
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Country | US
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Telephone | 830-885-5397
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Fax | 866-323-0116
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JAMES A LEE
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Credential | PT, DPT
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Telephone | 210-860-6998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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