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General NPI Number Information
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NPI Number | 1205706926
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Entity Type | Organization
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Legal Business Name | JM SERVICE
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 6475 170TH AVE
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City | ROYALTON
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State | MN
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Zip | 56373-3818
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Country | US
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Telephone | 320-360-2844
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Fax |
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Provider Business Mailing Address
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Address Line | 6475 170TH AVE
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City | ROYALTON
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State | MN
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Zip | 56373-3818
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Country | US
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Telephone | 320-360-2844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN MICK
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Credential |
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Telephone | 320-360-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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