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General NPI Number Information
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NPI Number | 1891944252
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Entity Type | Organization
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Legal Business Name | ALI JAHAN-TIGH MD PA
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 4310 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-3114
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Country | US
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Telephone | 281-425-6965
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Fax | 832-556-2925
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Provider Business Mailing Address
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Address Line | PO BOX 1668
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City | BAYTOWN
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State | TX
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Zip | 77522-1668
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Country | US
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Telephone | 281-425-6965
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Fax | 832-556-2925
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEOFFREY ALI JAHAN-TIGH
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Credential | MD
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Telephone | 281-425-6965
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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 | J5356
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License Number State | TX
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