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General NPI Number Information
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NPI Number | 1831404060
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Entity Type | Organization
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Legal Business Name | JAG HOUSTON
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 1533 W BAY AREA BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-3400
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Country | US
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Telephone | 281-338-2394
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Fax | 281-316-1353
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Provider Business Mailing Address
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Address Line | 1533 W BAY AREA BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-3400
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Country | US
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Telephone | 281-338-2394
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Fax | 281-316-1353
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM JASON GUEST
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Credential |
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Telephone | 404-444-7207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HADS000830
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License Number State | GA
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