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General NPI Number Information
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NPI Number | 1750612578
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Entity Type | Individual
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Provider Name | BIJI JIJU NP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2010
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 1202 W PIONEER DR SUITE 100
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City | IRVING
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State | TX
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Zip | 75061-7308
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Country | US
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Telephone | 972-254-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 W PIONEER DR SUITE 100
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City | IRVING
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State | TX
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Zip | 75061-7308
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Country | US
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Telephone | 972-254-7272
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209007102
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 826681
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License Number State | TX
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