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General NPI Number Information
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NPI Number | 1386112308
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Entity Type | Organization
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Legal Business Name | JENBRU GROUP INC
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 1025 E HALLANDALE BEACH BLVD STE 15-727
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4478
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Country | US
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Telephone | 954-320-9777
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Fax | 954-320-9778
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Provider Business Mailing Address
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Address Line | 1025 E HALLANDALE BEACH BLVD STE 15
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4478
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Country | US
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Telephone | 954-320-9777
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Fax | 954-320-9778
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER BRU
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Credential |
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Telephone | 954-320-9777
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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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