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General NPI Number Information
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NPI Number | 1023164779
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Entity Type | Organization
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Legal Business Name | JAYMARK MEDICAL
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 369 ADAMS RIDGE LN
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City | WOODBURY
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State | TN
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Zip | 37190-6505
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Country | US
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Telephone | 615-563-9501
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Fax | 615-563-9502
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Provider Business Mailing Address
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Address Line | 369 ADAMS RIDGE LN
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City | WOODBURY
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State | TN
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Zip | 37190-6505
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Country | US
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Telephone | 615-563-9501
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Fax | 615-563-9502
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Authorized Official
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Title or Position | PARTNER
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Name | MR. JAMES L ADKINS
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Credential |
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Telephone | 615-563-9501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0301400001
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License Number State | TN
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