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General NPI Number Information
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NPI Number | 1578843892
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Entity Type | Organization
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Legal Business Name | J CORONA INVESTMENTS LLC
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 1004 E BLUE BELL RD
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City | BRENHAM
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State | TX
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Zip | 77833-2417
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Country | US
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Telephone | 832-545-5379
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 E BLUE BELL RD
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City | BRENHAM
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State | TX
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Zip | 77833-2417
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Country | US
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Telephone | 979-251-8888
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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. JAIME E CORONA
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Credential |
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Telephone | 979-251-8888
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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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