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General NPI Number Information
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NPI Number | 1316996754
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Entity Type | Organization
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Legal Business Name | JRS MEDICAL SUPPLY & OXYGEN INC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 8265 VALENCIA COLLEGE LANE
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City | ORLANDO
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State | FL
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Zip | 32825-3242
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Country | US
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Telephone | 407-380-5005
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Fax | 407-380-0802
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Provider Business Mailing Address
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Address Line | PO BOX 2481
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City | WINTER PARK
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State | FL
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Zip | 32790-2481
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Country | US
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Telephone | 407-380-5005
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Fax | 407-380-0802
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MARTHA E SALMON
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Credential |
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Telephone | 407-380-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 5880120308977
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 539
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License Number State | FL
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