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General NPI Number Information
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NPI Number | 1396896908
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Entity Type | Organization
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Legal Business Name | JS-RF INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 504 ROCKSYLVANIA AVE
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City | IOWA FALLS
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State | IA
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Zip | 50126-2234
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Country | US
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Telephone | 641-648-5550
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Fax | 641-648-5553
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Provider Business Mailing Address
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Address Line | 504 ROCKSYLVANIA AVE
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City | IOWA FALLS
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State | IA
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Zip | 50126-2234
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Country | US
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Telephone | 641-648-5550
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Fax | 641-648-5553
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Authorized Official
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Title or Position | RPH,OWNER
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Name | MR. REX WILLIAM FORD
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Credential | RPH
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Telephone | 641-648-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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