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General NPI Number Information
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NPI Number | 1447322110
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Entity Type | Organization
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Legal Business Name | JOHN B GARRETT INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2054 CENTRAL AVE
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City | ALBANY
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State | NY
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Zip | 12205-4433
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Country | US
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Telephone | 518-869-1289
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Fax | 518-869-1679
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Provider Business Mailing Address
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Address Line | 2054 CENTRAL AVE
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City | ALBANY
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State | NY
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Zip | 12205-4433
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Country | US
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Telephone | 518-869-1289
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Fax | 518-869-1679
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES R JACOBS
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Credential | RN
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Telephone | 518-869-1289
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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 | 303664
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License Number State | NY
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