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General NPI Number Information
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NPI Number | 1104480151
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Entity Type | Organization
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Legal Business Name | J3A INC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 05/25/2019
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Provider Practice Location Address
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Address Line | 3611 2ND AVE
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City | KEARNEY
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State | NE
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Zip | 68847-8104
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Country | US
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Telephone | 308-455-1555
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Fax | 308-708-2699
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Provider Business Mailing Address
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Address Line | 3611 2ND AVE
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City | KEARNEY
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State | NE
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Zip | 68847-8104
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Country | US
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Telephone | 308-455-1555
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Fax | 308-708-2699
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | KIMBERLY ANN HAMIK
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Credential | RP
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Telephone | 308-293-0816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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