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General NPI Number Information
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NPI Number | 1538425889
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Entity Type | Organization
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Legal Business Name | JIRETH MEDICAL SUPPLY COMPANY, INC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 8 MUSICMASTER CT 132
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City | SILVER SPRING
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State | MD
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Zip | 20904
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Country | US
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Telephone | 240-280-6714
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Fax | 877-421-9896
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Provider Business Mailing Address
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Address Line | 8 MUSICMASTER CT 132
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City | SILVER SPRING
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State | MD
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Zip | 20904-6847
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Country | US
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Telephone | 240-280-6714
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Fax | 877-421-9896
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. ESTHER JACOB
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Credential |
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Telephone | 240-280-6714
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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 |
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License Number State |
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