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General NPI Number Information
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NPI Number | 1083848824
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Entity Type | Individual
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Provider Name | JONATHAN M DAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 100 MEDICAL DR
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5674
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Country | US
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Telephone | 979-297-9664
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 BOTTOMS ROCK LN
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City | PFAFFTOWN
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State | NC
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Zip | 27040-9568
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Country | US
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Telephone | 336-705-1896
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Fax |
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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 | 2010-01008
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License Number State | NC
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