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General NPI Number Information
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NPI Number | 1235412123
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Entity Type | Organization
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Legal Business Name | J B P DIAGNOSTICS INC
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 11711 ALDINE WESTFIELD RD
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City | HOUSTON
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State | TX
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Zip | 77093-1801
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Country | US
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Telephone | 713-992-5808
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Fax | 281-442-7082
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Provider Business Mailing Address
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Address Line | 8383 EL MUNDO ST APT 701
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City | HOUSTON
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State | TX
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Zip | 77054-4663
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Country | US
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Telephone | 713-992-5808
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Fax | 281-442-7082
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Authorized Official
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Title or Position | MANAGER
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Name | LAREN PERKINS
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Credential | D.C.
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Telephone | 281-442-7071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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