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General NPI Number Information
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NPI Number | 1356346431
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Entity Type | Organization
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Legal Business Name | JF MEDICAL SUPPORT CORP
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | CALLE CARRAOS 125
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-832-6397
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Fax | 787-832-6397
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Provider Business Mailing Address
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Address Line | CALLE CARRAOS 125
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-832-6397
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Fax | 787-832-6397
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE FLORES
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Credential |
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Telephone | 787-832-6397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 5109110001
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License Number State | PR
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