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General NPI Number Information
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NPI Number | 1386823029
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Entity Type | Individual
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Provider Name | JONATHAN GARLAND EASTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 6414 FANNIN ST STE G150
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City | HOUSTON
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State | TX
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Zip | 77030-1514
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Country | US
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Telephone | 713-486-7560
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Fax | 713-486-7512
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Provider Business Mailing Address
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Address Line | 6400 FANNIN ST STE 1700
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City | HOUSTON
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State | TX
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Zip | 77030-1526
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Country | US
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Telephone | 713-486-6998
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD60208128
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | MD60208128
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | A00102556
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License Number State | CA
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