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General NPI Number Information
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NPI Number | 1285214700
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Entity Type | Organization
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Legal Business Name | JAM HEALTHCARE SERVICES SUPPLIES, INC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 750 S ORANGE BLOSSOM TRL STE 41
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City | ORLANDO
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State | FL
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Zip | 32805-3138
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Country | US
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Telephone | 407-801-2863
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Fax | 407-350-3185
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Provider Business Mailing Address
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Address Line | 750 S ORANGE BLOSSOM TRL STE 41
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City | ORLANDO
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State | FL
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Zip | 32805-3138
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Country | US
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Telephone | 407-801-2863
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Fax | 407-350-3185
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Authorized Official
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Title or Position | CEO
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Name | JUANITA MARTIN
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Credential |
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Telephone | 407-801-2863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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