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General NPI Number Information
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NPI Number | 1902957640
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Entity Type | Organization
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Legal Business Name | BILL L. JOU, M.D., INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/26/2016
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Provider Practice Location Address
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Address Line | 31515 RANCHO PUEBLO RD SUITE 2015
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City | TEMECULA
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State | CA
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Zip | 92592-4836
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Country | US
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Telephone | 951-676-8118
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Fax | 951-676-8558
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Provider Business Mailing Address
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Address Line | PO BOX 244
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City | TEMECULA
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State | CA
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Zip | 92593-0244
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Country | US
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Telephone | 951-676-8118
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Fax | 951-676-8558
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BILL LIANG JOU
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Credential | M.D.
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Telephone | 951-676-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A061675
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License Number State | CA
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