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General NPI Number Information
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NPI Number | 1497956726
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Entity Type | Organization
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Legal Business Name | MARIA M. JIRKA, M.D.,P.A.
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 5979 BABCOCK RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2137
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Country | US
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Telephone | 210-690-5700
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Fax | 210-558-0428
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Provider Business Mailing Address
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Address Line | PO BOX 1281
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City | HELOTES
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State | TX
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Zip | 78023-1281
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Country | US
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Telephone | 210-690-5700
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Fax | 210-558-5580
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA MARGARITA JIRKA
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Credential | M.D.
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Telephone | 210-690-5700
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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 | J2114
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J4202
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License Number State | TX
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