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General NPI Number Information
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NPI Number | 1245277300
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Entity Type | Individual
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Provider Name | JIBRAIL KASPERKHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 21902 FRANKLIN PARK APT 1306
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2193
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Country | US
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Telephone | 210-479-1955
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Fax | 210-764-1561
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Provider Business Mailing Address
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Address Line | 1150 N LOOP 1604 W STE 108-641
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City | SAN ANTONIO
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State | TX
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Zip | 78248-4552
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Country | US
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Telephone | 210-479-1955
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Fax | 210-764-1561
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | M0453
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M0453
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License Number State | TX
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