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General NPI Number Information
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NPI Number | 1619319084
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Entity Type | Individual
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Provider Name | JESSICA T JANG DVM
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Gender | Female
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 6015 WEST SIDE SAGINAW RD
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City | BAY CITY
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State | MI
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Zip | 48706
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Country | US
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Telephone | 989-686-0703
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Fax | 989-686-6502
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Provider Business Mailing Address
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Address Line | 6015 WEST SIDE SAGINAW RD
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City | BAY CITY
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State | MI
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Zip | 48706
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Country | US
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Telephone | 989-686-0703
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Fax | 989-686-6502
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 6901010619
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License Number State | MI
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