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General NPI Number Information
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NPI Number | 1255028544
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Entity Type | Organization
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Legal Business Name | JRM LLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 735 SW 11TH ST STE 102
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City | REDMOND
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State | OR
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Zip | 97756-2660
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Country | US
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Telephone | 541-512-7049
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Fax |
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Provider Business Mailing Address
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Address Line | 735 SW 11TH ST STE 102
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City | REDMOND
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State | OR
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Zip | 97756-2660
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Country | US
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Telephone | 541-512-7049
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | JUSTINE BALL
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Credential |
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Telephone | 541-512-7049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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