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General NPI Number Information
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NPI Number | 1629922646
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Entity Type | Organization
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Legal Business Name | TJW MEDICAL PLLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 8836 139TH ST
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City | JAMAICA
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State | NY
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Zip | 11435-4098
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Country | US
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Telephone | 646-592-1746
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Fax | 646-476-5800
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Provider Business Mailing Address
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Address Line | 8836 139TH ST
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City | JAMAICA
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State | NY
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Zip | 11435-4098
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Country | US
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Telephone | 646-592-1746
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Fax | 646-476-5800
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Authorized Official
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Title or Position | OWNER
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Name | TREMAINE WRIGHT
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Credential | DO
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Telephone | 646-592-1746
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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