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General NPI Number Information
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NPI Number | 1255687026
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Entity Type | Organization
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Legal Business Name | JVG & ASSOCIATES LTD., LLP
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 1701 RED BUD LN #200
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City | ROUND ROCK
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State | TX
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Zip | 78664-3835
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Country | US
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Telephone | 512-520-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 RED BUD LN #200
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City | ROUND ROCK
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State | TX
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Zip | 78664-3835
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Country | US
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Telephone | 512-520-7585
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF THE GENERAL PARTNERSHI
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Name | DR. JOSEPH GIASI
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Credential | DDS, MS
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Telephone | 512-520-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22082
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License Number State | TX
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