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General NPI Number Information
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NPI Number | 1336397280
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Entity Type | Individual
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Provider Name | JESSEN JAMES MUKALEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3786 FM 1488 RD STE 150
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City | CONROE
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State | TX
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Zip | 77384-4987
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Country | US
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Telephone | 346-272-0025
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Fax | 281-781-2540
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Provider Business Mailing Address
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Address Line | 3786 FM 1488 RD STE 150
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City | CONROE
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State | TX
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Zip | 77384-4987
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Country | US
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Telephone | 346-272-0025
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Fax | 281-781-2540
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME111197
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | P0257
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | P0257
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License Number State | TX
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