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General NPI Number Information
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NPI Number | 1043564404
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Entity Type | Organization
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Legal Business Name | JCMJ ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 3062 ROUTE 9W SUITE 100
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City | NEW WINDSOR
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State | NY
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Zip | 12553-7658
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Country | US
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Telephone | 845-567-6347
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Fax | 845-567-6348
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Provider Business Mailing Address
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Address Line | 3062 ROUTE 9W SUITE 100
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City | NEW WINDSOR
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State | NY
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Zip | 12553-7658
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Country | US
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Telephone | 845-567-6347
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Fax | 845-567-6348
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOHN C HENRY
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Credential | NY LIC, A.A.
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Telephone | 845-492-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 15000009663
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License Number State | NY
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