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General NPI Number Information
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NPI Number | 1134529217
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Entity Type | Organization
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Legal Business Name | JMEDICAL
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 9729 PARKWAY E STE 10
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City | CENTER POINT
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State | AL
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Zip | 35215-7800
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Country | US
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Telephone | 205-821-8102
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Fax | 888-853-2254
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Provider Business Mailing Address
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Address Line | 9729 PARKWAY E STE 10
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City | CENTER POINT
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State | AL
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Zip | 35215-7800
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Country | US
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Telephone | 205-821-8102
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Fax | 888-853-2254
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FREDRED HENRY JONES JR.
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Credential |
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Telephone | 205-821-8102
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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 | 14022862
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License Number State | AL
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