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General NPI Number Information
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NPI Number | 1174745061
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Entity Type | Individual
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Provider Name | JASON BLAIR LITTEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BOULDEVARD
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City | DALLAS
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State | TX
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Zip | 75390-9063
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Country | US
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Telephone | 214-648-3896
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Fax | 214-456-6133
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BOULDEVARD
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City | DALLAS
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State | TX
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Zip | 75390-9063
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Country | US
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Telephone | 214-648-3896
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Fax | 214-456-6133
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M7374
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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