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NPI 1639828056

NPI 1639828056 : JOINT PAIN AND ORTHOPEDICS, PLLC : SAN MARCOS, TX

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General NPI Number Information
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    NPI Number           |    1639828056
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOINT PAIN AND ORTHOPEDICS, PLLC 
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Dates
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    Enumeration Date     |    03/22/2022
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    Last Update Date     |    09/05/2023
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Provider Practice Location Address
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    Address Line         |    1305 WONDER WORLD DR STE 100 
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    City                 |    SAN MARCOS
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    State                |    TX
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    Zip                  |    78666-7502
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    Country              |    US
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    Telephone            |    512-266-3377
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4316 JAMES CASEY BLDG F, #201 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78745
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    Country              |    US
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    Telephone            |    512-266-3377
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTOPHER LOUIS JIMENEZ 
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    Credential           |    
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    Telephone            |    512-266-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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