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General NPI Number Information
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NPI Number | 1144609900
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Entity Type | Organization
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Legal Business Name | JNS PHYSICIANS GROUP LLC
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 1724 VILLAGE WAY STE B
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City | ORANGE PARK
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State | FL
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Zip | 32073-5225
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Country | US
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Telephone | 904-644-7034
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 627
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City | ORANGE PARK
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State | FL
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Zip | 32067-0627
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Country | US
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Telephone | 904-476-5778
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSEPH NASIM SALAMEH
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Credential | D.C.
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Telephone | 904-644-7034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11115
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License Number State | FL
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