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General NPI Number Information
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NPI Number | 1356383988
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Entity Type | Organization
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Legal Business Name | J.O. DISTRIBUTORS, INC.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4110 S BOWDISH RD
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City | SPOKANE
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State | WA
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Zip | 99206-9606
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Country | US
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Telephone | 509-893-1983
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Fax | 509-892-5988
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Provider Business Mailing Address
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Address Line | 4110 S BOWDISH RD
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City | SPOKANE
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State | WA
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Zip | 99206-9606
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Country | US
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Telephone | 509-893-1983
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Fax | 509-892-5988
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. JOSEPH OCONNOR
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Credential |
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Telephone | 509-893-1983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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