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General NPI Number Information
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NPI Number | 1073841953
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Entity Type | Organization
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Legal Business Name | J MEDICAL
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 9616 HAMILTON HILLS DR
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City | FISHERS
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State | IN
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Zip | 46038-2070
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Country | US
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Telephone | 317-594-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 9616 HAMILTON HILLS DR
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City | FISHERS
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State | IN
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Zip | 46038-2070
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Country | US
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Telephone | 317-594-0094
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER/OPERATOR
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Name | MR. BRAD DEAN JAMES
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Credential |
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Telephone | 317-594-0094
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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 |
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License Number State |
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