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General NPI Number Information
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NPI Number | 1356383665
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Entity Type | Organization
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Legal Business Name | JACINTO MEDICAL CENTER, L.P.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 2800 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-3947
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Country | US
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Telephone | 281-427-3700
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Fax | 281-427-6663
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Provider Business Mailing Address
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Address Line | 2800 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-3947
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Country | US
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Telephone | 281-427-3700
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Fax | 281-427-6663
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Authorized Official
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Title or Position | CEO
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Name | MR. SIRAJ JIWANI
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Credential |
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Telephone | 281-427-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R20528
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License Number State | TX
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