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General NPI Number Information
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NPI Number | 1972786648
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Entity Type | Organization
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Legal Business Name | JOSEPH M TEJAN MD PA
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 1001 YORK DRIVE
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City | DESOTO
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State | TX
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Zip | 75115-2083
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Country | US
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Telephone | 972-283-0200
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Fax | 972-283-2515
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Provider Business Mailing Address
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Address Line | 1001 YORK DRIVE
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City | DESOTO
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State | TX
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Zip | 75115-2083
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Country | US
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Telephone | 972-283-0200
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Fax | 972-283-2515
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. ANGELIA K CHRISTIAN
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Credential |
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Telephone | 972-283-0200
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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 | K7630
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License Number State | TX
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