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General NPI Number Information
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NPI Number | 1871783142
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Entity Type | Organization
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Legal Business Name | JOSE LIMON M.D. INC.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 1809 BUMGARDNER CT
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City | MODESTO
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State | CA
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Zip | 95355-9295
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Country | US
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Telephone | 209-204-0064
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Fax | 619-270-2521
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Provider Business Mailing Address
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Address Line | 1809 BUMGARDNER CT
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City | MODESTO
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State | CA
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Zip | 95355-9295
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Country | US
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Telephone | 209-204-0064
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Fax | 619-270-2521
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Authorized Official
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Title or Position | SECRETARY
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Name | JOSE G LIMON-OLIVARES
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Credential | MD
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Telephone | 209-204-0064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A80753
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License Number State | CA
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