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General NPI Number Information
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NPI Number | 1154524478
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Entity Type | Organization
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Legal Business Name | BRENDA JEAN JOBSON DO PLLC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 298 BOGLE ST SUITE A
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City | SOMERSET
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State | KY
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Zip | 42503-2836
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Country | US
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Telephone | 606-678-8883
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Fax | 606-677-0220
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Provider Business Mailing Address
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Address Line | 298 BOGLE ST SUITE A
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City | SOMERSET
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State | KY
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Zip | 42503-2836
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Country | US
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Telephone | 606-678-8883
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Fax | 606-677-0220
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BRENDA JEAN JOBSON
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Credential | D.O.
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Telephone | 606-678-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 02704
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License Number State | KY
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