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General NPI Number Information
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NPI Number | 1477898203
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Entity Type | Organization
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Legal Business Name | JLMS PROPERTIES, LLC
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 316 WICKWARE DR
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City | FRONTENAC
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State | KS
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Zip | 66763-2383
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Country | US
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Telephone | 620-249-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 316 WICKWARE DR
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City | FRONTENAC
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State | KS
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Zip | 66763-2383
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Country | US
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Telephone | 620-249-0036
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK J SCALES
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Credential |
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Telephone | 620-249-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | APPLYING FOR ONE
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License Number State | KS
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