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General NPI Number Information
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NPI Number | 1083135065
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Entity Type | Organization
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Legal Business Name | JEFFREY JUMAILY MD INC
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8816 BURTON WAY # 1
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1715
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Country | US
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Telephone | 310-285-9612
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Fax | 310-285-9615
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Provider Business Mailing Address
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Address Line | 8816 BURTON WAY # 1
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1715
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Country | US
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Telephone | 310-285-9612
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Fax | 310-285-9615
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY S JUMAILY
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Credential | MD
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Telephone | 310-285-9612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | A147007
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A147007
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License Number State | CA
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