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General NPI Number Information
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NPI Number | 1427137058
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Entity Type | Organization
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Legal Business Name | CHARLES R PAJESTKA MD
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301A HUDSPETH AVENUE
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City | SONORA
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State | TX
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Zip | 76950
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Country | US
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Telephone | 325-387-6557
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Fax | 325-387-5272
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Provider Business Mailing Address
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Address Line | 301A HUDSPETH AVENUE
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City | SONORA
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State | TX
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Zip | 76950
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Country | US
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Telephone | 325-387-6557
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Fax | 325-387-5272
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRIS A BADGETT
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Credential |
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Telephone | 325-387-6557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G8324
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License Number State | TX
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