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General NPI Number Information
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NPI Number | 1114676749
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Entity Type | Individual
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Provider Name | OREGON JAI MCDIARMID MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4922 SPRING AVE
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City | DALLAS
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State | TX
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Zip | 75210-1359
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Country | US
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Telephone | 214-421-7848
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Fax | 214-421-1119
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Provider Business Mailing Address
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Address Line | 3900 JUNIUS ST STE 300
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City | DALLAS
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State | TX
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Zip | 75246-1602
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Country | US
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Telephone | 239-372-6156
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Fax | 214-528-5879
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V9940
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License Number State | TX
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