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General NPI Number Information
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NPI Number | 1538776208
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Entity Type | Organization
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Legal Business Name | ATJ COMMUNITY SERVICES
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 3636 CREEK VIEW CIR
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City | DALLAS
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State | TX
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Zip | 75233-1704
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Country | US
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Telephone | 469-968-2469
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Fax |
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Provider Business Mailing Address
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Address Line | 3636 CREEK VIEW CIR
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City | DALLAS
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State | TX
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Zip | 75233-1704
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Country | US
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Telephone | 469-968-2469
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | JASTON HAMPTON
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Credential |
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Telephone | 469-968-2469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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