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General NPI Number Information
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NPI Number | 1689375248
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Entity Type | Organization
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Legal Business Name | MY JOINT CARE PLLC
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 1702 S CLACK ST STE B
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City | ABILENE
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State | TX
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Zip | 79605-4611
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Country | US
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Telephone | 325-627-8465
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Fax | 833-932-0557
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Provider Business Mailing Address
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Address Line | 349 STALLION RD
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City | ABILENE
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State | TX
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Zip | 79606-6720
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Country | US
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Telephone | 325-627-8465
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Fax | 833-932-8465
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Authorized Official
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Title or Position | OWNER
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Name | CALVIN JAMES ABOR
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Credential | PHYSICIAN ASSISTANT
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Telephone | 325-627-8465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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