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General NPI Number Information
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NPI Number | 1871533992
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Entity Type | Individual
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Provider Name | JOHN THOMAS JANOUSEK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 633 MDG NEELEY AVE
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City | HAMPTON
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State | VA
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Zip | 23665
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Country | US
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Telephone | 757-764-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 401 BLEVINS RUN
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City | YORKTOWN
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State | VA
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Zip | 23693-4185
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Country | US
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Telephone | 757-532-1686
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME88851
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101052906
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2001-00052
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License Number State | NC
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