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General NPI Number Information
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NPI Number | 1932389756
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Entity Type | Organization
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Legal Business Name | SOUTHERN BONE AND JOINT CENTER ASSOCIATES
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 320 N MCCOLL RD SUITE A
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City | MCALLEN
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State | TX
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Zip | 78501-9348
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Country | US
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Telephone | 956-687-2032
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Fax | 956-971-9306
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Provider Business Mailing Address
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Address Line | PO BOX 20474
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City | BELFAST
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State | ME
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Zip | 04915-4099
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Country | US
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Telephone | 956-687-2032
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Fax | 956-971-9306
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JORGE E TIJMES
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Credential | M.D.
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Telephone | 956-687-2032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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