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General NPI Number Information
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NPI Number | 1851412050
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Entity Type | Organization
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Legal Business Name | JAN TILLEY & ASSOCIATES
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 1870 W BITTERS RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78248-1827
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Country | US
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Telephone | 210-545-4422
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Fax | 885-582-7143
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Provider Business Mailing Address
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Address Line | 1870 W BITTERS RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78248-1827
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Country | US
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Telephone | 210-545-4422
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Fax | 210-545-4495
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JAN L TILLEY
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Credential | DIETITIAN
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Telephone | 210-545-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DY04462
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License Number State | TX
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