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General NPI Number Information
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NPI Number | 1033203682
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Entity Type | Organization
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Legal Business Name | JPM HEALTHCARE LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 3436 34TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2830
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Country | US
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Telephone | 806-799-3636
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Fax | 806-795-4622
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Provider Business Mailing Address
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Address Line | 10113 CHICAGO AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-8254
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Country | US
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Telephone | 806-789-9806
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Fax | 855-710-8041
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JIGNA PATEL
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Credential | PHARMD
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Telephone | 806-789-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27815
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License Number State | TX
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