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General NPI Number Information
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NPI Number | 1396668562
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Entity Type | Organization
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Legal Business Name | JM SURGICAL LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 31 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06106-5503
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Country | US
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Telephone | 860-595-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | FARMINGTON
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State | CT
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Zip | 06034-0307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA MILES
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Credential | PA-C
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Telephone | 860-690-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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