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General NPI Number Information
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NPI Number | 1942087804
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Entity Type | Organization
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Legal Business Name | JASON E BERILGEN MD PLLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 603 S CONROE MEDICAL DR STE 110
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City | CONROE
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State | TX
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Zip | 77304-5395
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Country | US
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Telephone | 713-898-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 515 W GREENS RD STE 710
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City | HOUSTON
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State | TX
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Zip | 77067-4525
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Country | US
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Telephone | 713-859-6820
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON E BERLIGEN
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Credential | MD
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Telephone | 713-898-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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