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General NPI Number Information
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NPI Number | 1912149972
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Entity Type | Organization
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Legal Business Name | JAMES M. JARRETT, M.D., P.A.
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 1017 S TRAVIS AVE
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City | CLEVELAND
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State | TX
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Zip | 77327-5152
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Country | US
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Telephone | 281-622-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 19506 HIGHWAY 59 N STE 320
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City | HUMBLE
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State | TX
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Zip | 77338-4346
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Country | US
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Telephone | 281-540-7500
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Fax | 281-540-7502
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ROBERT CAMPBELL
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Credential | MBA
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Telephone | 281-540-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | J4235
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License Number State | TX
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