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General NPI Number Information
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NPI Number | 1962961409
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Entity Type | Organization
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Legal Business Name | TJ FAMILY CLINIC PLLC
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 3746 SCHERTZ PKWY STE 100
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City | SCHERTZ
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State | TX
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Zip | 78154-2929
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Country | US
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Telephone | 210-598-9191
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Fax | 949-404-6521
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Provider Business Mailing Address
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Address Line | 3746 SCHERTZ PKWY STE 100
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City | SCHERTZ
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State | TX
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Zip | 78154-2929
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Country | US
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Telephone | 210-598-9191
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Fax | 949-404-6521
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | KAREN A JOHNSON
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Credential | FNP-BC
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Telephone | 210-598-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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