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General NPI Number Information
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NPI Number | 1306327465
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Entity Type | Organization
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Legal Business Name | THE LJB GROUP, LLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 1261 DELFINO DR
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City | JACKSONVILLE
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State | FL
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Zip | 32225-5435
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Country | US
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Telephone | 904-382-8439
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 DELFINO DR
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City | JACKSONVILLE
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State | FL
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Zip | 32225-5435
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | LARRY LONGHI
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Credential |
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Telephone | 904-382-8439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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