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General NPI Number Information
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NPI Number | 1174467377
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Entity Type | Organization
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Legal Business Name | JOBETH AUGUSTYNIAK DO, PLLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 2914 TULIP DR
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City | SHERMAN
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State | TX
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Zip | 75092-3639
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Country | US
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Telephone | 903-212-6778
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Fax | 903-212-6779
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Provider Business Mailing Address
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Address Line | 2914 TULIP DR
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City | SHERMAN
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State | TX
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Zip | 75092-3639
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Country | US
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Telephone | 903-212-6778
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Fax | 903-212-6779
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Authorized Official
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Title or Position | FOUNDER/PHYSICIAN
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Name | JOBETH AUGUSTYNIAK
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Credential | DO
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Telephone | 903-212-6778
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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 |
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License Number State |
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