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General NPI Number Information
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NPI Number | 1194847582
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Entity Type | Organization
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Legal Business Name | JTB MEDICAL EQUIPMENT & SERVICES, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 9950 WESTPARK DR 338
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City | HOUSTON
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State | TX
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Zip | 77063-5138
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Country | US
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Telephone | 713-808-9811
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Fax | 713-808-9756
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Provider Business Mailing Address
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Address Line | 9950 WESTPARK DR 338
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City | HOUSTON
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State | TX
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Zip | 77063-5138
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Country | US
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Telephone | 713-808-9811
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Fax | 713-808-9756
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Authorized Official
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Title or Position | ADMIN DIRECOTOR/PRESIDENT
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Name | JACQUELINE L MCCAMPBELL
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Credential |
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Telephone | 713-808-9811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0094090
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License Number State | TX
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