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General NPI Number Information
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NPI Number | 1699732271
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Entity Type | Individual
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Provider Name | NAPAPORN JESSADAPAGORN MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 387 W IH 10 STUITE 200
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City | FORT STOCKTON
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State | TX
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Zip | 79735-2700
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Country | US
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Telephone | 432-336-8511
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Fax | 432-336-8511
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | FORT STOCKTON
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State | TX
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Zip | 79735-1060
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Country | US
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Telephone | 432-336-8511
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Fax | 432-336-8511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | F1072
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License Number State | TX
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