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General NPI Number Information
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NPI Number | 1821463506
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Entity Type | Organization
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Legal Business Name | JYEN HEALTHCARE LLC.
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 4402 E SOUTHCROSS STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3520
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Country | US
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Telephone | 210-333-3700
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Fax | 210-333-3707
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Provider Business Mailing Address
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Address Line | 4402 E SOUTHCROSS STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3520
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Country | US
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Telephone | 352-216-5500
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Fax | 830-315-4711
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Authorized Official
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Title or Position | OWNER, AO
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Name | SACHIN PATEL
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Credential |
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Telephone | 210-333-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 30365
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License Number State | TX
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