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General NPI Number Information
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NPI Number | 1376861591
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Entity Type | Organization
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Legal Business Name | JANJUA CONSULTING, LLC
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 1441 102ND ST W
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-4730
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Country | US
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Telephone | 612-281-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 102ND ST W
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-4730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARIQ JANJUA
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Credential | MD
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Telephone | 612-281-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 42913
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License Number State | MN
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