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General NPI Number Information
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NPI Number | 1154320711
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Entity Type | Organization
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Legal Business Name | IJ-JENEIL INC
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Dates
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Enumeration Date | 07/17/2005
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 4630 RICHMOND RD SUITE 265
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City | CLEVELAND
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State | OH
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Zip | 44128-5965
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Country | US
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Telephone | 216-831-2048
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Fax | 216-831-1028
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Provider Business Mailing Address
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Address Line | 4630 RICHMOND RD SUITE 265
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City | CLEVELAND
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State | OH
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Zip | 44128-5965
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Country | US
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Telephone | 216-831-2048
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Fax | 216-831-1028
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | EILEEN JONES
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Credential |
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Telephone | 216-831-2048
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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 |
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License Number State |
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