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General NPI Number Information
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NPI Number | 1235980939
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Entity Type | Organization
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Legal Business Name | JAYLORIN GROUP INC
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 785 S STATE ROAD 7
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City | HOLLYWOOD
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State | FL
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Zip | 33023-6710
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Country | US
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Telephone | 754-277-4940
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Fax | 754-287-2261
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Provider Business Mailing Address
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Address Line | 1025 E HALLANDALE BEACH BLVD STE 15-747
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4478
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Country | US
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Telephone | 754-319-9039
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESMOND JACKSON
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Credential |
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Telephone | 754-319-9039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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