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General NPI Number Information
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NPI Number | 1285917021
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Entity Type | Organization
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Legal Business Name | JAMJEN ENTERPRISES INC
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 510 N ZANG BLVD SUITE # 103
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City | DALLAS
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State | TX
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Zip | 75208-4451
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Country | US
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Telephone | 214-941-4360
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Fax | 214-941-4160
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Provider Business Mailing Address
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Address Line | 510 N ZANG BLVD SUITE # 103
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City | DALLAS
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State | TX
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Zip | 75208-4451
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Country | US
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Telephone | 214-941-4360
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Fax | 214-941-4160
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. JAMES HEMEN
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Credential | RPH
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Telephone | 214-794-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27659
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License Number State | TX
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