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General NPI Number Information
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NPI Number | 1649195447
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Entity Type | Organization
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Legal Business Name | JSP MEDICAL PC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 5407 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-6405
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Country | US
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Telephone | 718-492-4109
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Fax | 718-492-2082
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Provider Business Mailing Address
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Address Line | 5407 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-6405
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Country | US
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Telephone | 718-492-4109
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Fax | 718-492-2082
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE SANCHEZ PENA
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Credential | MD
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Telephone | 862-222-0566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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