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General NPI Number Information
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NPI Number | 1871851733
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Entity Type | Organization
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Legal Business Name | JANSPA MED SERVICES INC
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 13914 HIGHWAY 3 STE 700
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City | WEBSTER
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State | TX
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Zip | 77598-1613
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Country | US
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Telephone | 281-886-7164
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Fax | 281-652-5345
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Provider Business Mailing Address
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Address Line | 1302 SHADY GROVE CT
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City | SEABROOK
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State | TX
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Zip | 77586-4136
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Country | US
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Telephone | 832-551-7595
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Fax |
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Authorized Official
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Title or Position | OWNER/PRES
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Name | DINESH BHAVSAR
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Credential | RPH
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Telephone | 832-551-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27983
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License Number State | TX
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