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Individual
JASON THOMAS RANDALL
Active
Individual
JASON THOMAS RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.27730
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111355
—
AL
05
—
111912
—
AL
05
—
111923
—
AL
01
—
5149399
BCBS
—
Enumeration date
10/11/2006
Last updated
03/27/2014
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