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General NPI Number Information
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NPI Number | 1649593633
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Entity Type | Organization
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Legal Business Name | NJZ MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 10300 N CENTRAL EXPY SUITE 350
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City | DALLAS
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State | TX
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Zip | 75231-8600
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Country | US
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Telephone | 214-265-8650
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Fax | 214-265-8457
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Provider Business Mailing Address
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Address Line | PO BOX 12753
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City | DALLAS
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State | TX
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Zip | 75225-0753
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Country | US
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Telephone | 214-265-8650
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Fax | 214-265-8457
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BRYAN SCOTT DRAZNER
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Credential | M.D.
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Telephone | 214-265-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | J0945
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J0945
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License Number State | TX
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