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General NPI Number Information
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NPI Number | 1043338338
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Entity Type | Individual
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Provider Name | JARED TATE READING MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 1025 GARNER FIELD RD
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City | UVALDE
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State | TX
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Zip | 78801-4809
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Country | US
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Telephone | 830-278-6521
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Fax | 830-278-8529
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR MC7977
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-257-1400
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Fax | 210-257-1428
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M5898
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License Number State | TX
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