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General NPI Number Information
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NPI Number | 1093710154
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Entity Type | Organization
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Legal Business Name | JMV ENTERPRISES INC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6701 SANGER AVE STE 106
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City | WACO
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State | TX
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Zip | 76710-7737
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Country | US
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Telephone | 254-751-9393
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Fax | 254-751-7441
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Provider Business Mailing Address
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Address Line | 6701 SANGER AVE STE 106
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City | WACO
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State | TX
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Zip | 76710-7737
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Country | US
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Telephone | 254-751-9393
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Fax | 254-751-7441
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Authorized Official
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Title or Position | EXEC. VICE PRESIDENT
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Name | MR. JAMES MAREK
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Credential |
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Telephone | 254-751-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 002628
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License Number State | TX
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