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General NPI Number Information
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NPI Number | 1437698826
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Entity Type | Organization
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Legal Business Name | J&K MEDICAL SERVICE INC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 10 CALLE LUIS BARRERA
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-263-9338
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Fax | 787-263-9338
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Provider Business Mailing Address
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Address Line | AN2 CALLE 31 REPARTO TERESITA
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-263-9338
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Fax | 787-263-9338
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Authorized Official
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Title or Position | PRESIDENTE
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Name | JESSICA CRUZ LUNA
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Credential |
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Telephone | 787-617-3558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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