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General NPI Number Information
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NPI Number | 1326252057
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Entity Type | Organization
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Legal Business Name | J M LIMITED, LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1716 GOVERNMENT ST SUITE D
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3801
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Country | US
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Telephone | 228-818-6110
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Fax | 228-818-6113
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Provider Business Mailing Address
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Address Line | 1716 GOVERNMENT ST SUITE D
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3801
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Country | US
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Telephone | 228-818-6110
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Fax | 228-818-6113
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Authorized Official
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Title or Position | FRANCHISE OWNER
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Name | MRS. MARY H. SUKIENNIK
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Credential |
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Telephone | 228-818-6110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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