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General NPI Number Information
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NPI Number | 1821188293
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Entity Type | Individual
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Provider Name | JASON L WEST MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 3537 S I 35 E SUITE 320
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City | DENTON
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State | TX
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Zip | 76210-6800
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Country | US
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Telephone | 940-243-7000
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Fax | 940-243-7001
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Provider Business Mailing Address
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Address Line | 6513 PRESTON RD SUITE 300
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City | PLANO
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State | TX
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Zip | 75024-2688
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Country | US
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Telephone | 972-608-2025
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Fax | 972-608-2032
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 026288
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M7750
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License Number State | TX
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