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General NPI Number Information
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NPI Number | 1629796487
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Entity Type | Organization
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Legal Business Name | JYMED CONSULTING PLLC
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 1901 N MACARTHUR BLVD STE 145
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City | IRVING
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State | TX
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Zip | 75061-2220
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Country | US
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Telephone | 972-990-8575
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Fax | 972-990-5492
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Provider Business Mailing Address
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Address Line | 1901 N MACARTHUR BLVD STE 145
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City | IRVING
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State | TX
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Zip | 75061-2220
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Country | US
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Telephone | 972-990-8575
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Fax | 972-990-5492
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Authorized Official
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Title or Position | OWNER
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Name | JOHN YAFT
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Credential | MD
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Telephone | 972-990-8575
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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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