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General NPI Number Information
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NPI Number | 1164476602
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Entity Type | Individual
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Provider Name | JULES PEAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1907 HIGHWAY 97 E STE 230
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City | JOURDANTON
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State | TX
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Zip | 78026-1538
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Country | US
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Telephone | 210-923-7342
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Fax | 210-923-7100
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Provider Business Mailing Address
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Address Line | 100 GREENLEY RD
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City | SONORA
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State | CA
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Zip | 95370-5936
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Country | US
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Telephone | 210-271-3204
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Fax | 210-222-2761
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C51988
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q1882
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License Number State | TX
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