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General NPI Number Information
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NPI Number | 1295069144
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Entity Type | Organization
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Legal Business Name | R&J MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 7474 S KIRKWOOD RD SUITE 200-A
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City | HOUSTON
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State | TX
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Zip | 77072-3307
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Country | US
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Telephone | 281-617-8671
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Fax | 832-369-1722
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Provider Business Mailing Address
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Address Line | 7474 S KIRKWOOD RD SUITE 200-A
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City | HOUSTON
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State | TX
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Zip | 77072-3307
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Country | US
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Telephone | 281-617-8671
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Fax | 832-369-1722
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | JESSICA SANTIAGO KHAN
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Credential | MD
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Telephone | 281-617-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | K4469
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License Number State | TX
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