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NPI 1679804090

NPI 1679804090 : JOJOHA, LLC : GIDDINGS, TX

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General NPI Number Information
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    NPI Number           |    1679804090
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOJOHA, LLC 
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Dates
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    Enumeration Date     |    01/25/2010
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    Last Update Date     |    01/25/2010
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Provider Practice Location Address
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    Address Line         |    721 E AUSTIN ST 
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    City                 |    GIDDINGS
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    State                |    TX
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    Zip                  |    78942-3403
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    Country              |    US
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    Telephone            |    979-542-9519
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    Fax                  |    979-542-9428
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6989 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79608-6989
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    Country              |    US
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    Telephone            |    325-643-3300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |    DR. BILLY DON JONES 
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    Credential           |    M.D.
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    Telephone            |    325-643-3300
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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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