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General NPI Number Information
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NPI Number | 1619762424
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Entity Type | Organization
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Legal Business Name | JENS LANGSJOEN MD PLLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 800 E DAWSON ST
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City | TYLER
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State | TX
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Zip | 75701-2036
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Country | US
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Telephone | 903-593-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 33 PAA KO DR
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City | SANDIA PARK
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State | NM
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Zip | 87047-8500
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Country | US
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Telephone | 505-967-6571
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Fax |
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Authorized Official
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Title or Position | HOSPITALIST
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Name | JENS LANGSJOEN
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Credential | MD
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Telephone | 505-967-6571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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