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General NPI Number Information
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NPI Number | 1942461926
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Entity Type | Organization
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Legal Business Name | JACKSON T. BIGGS, M.D., P.A.
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Dates
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Enumeration Date | 06/22/2008
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 161 LAY ST
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City | HALLETTSVILLE
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State | TX
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Zip | 77964-3519
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Country | US
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Telephone | 361-798-5168
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Fax |
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Provider Business Mailing Address
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Address Line | 161 LAY ST
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City | HALLETTSVILLE
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State | TX
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Zip | 77964-3519
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Country | US
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Telephone | 361-798-5168
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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. JACKSON T BIGGS
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Credential | M.D.
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Telephone | 361-798-5168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E9541
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License Number State | TX
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