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General NPI Number Information
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NPI Number | 1457148884
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Entity Type | Organization
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Legal Business Name | JD OUTDOOR SERVICES LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 812 GOLF COURSE RD
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City | MONTICELLO
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State | MN
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Zip | 55362-8742
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Country | US
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Telephone | 763-727-1119
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Fax |
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Provider Business Mailing Address
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Address Line | 812 GOLF COURSE RD
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City | MONTICELLO
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State | MN
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Zip | 55362-8742
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Country | US
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Telephone | 763-272-1119
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEROME MORROW
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Credential |
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Telephone | 763-600-1995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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