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General NPI Number Information
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NPI Number | 1619147170
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Entity Type | Organization
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Legal Business Name | JT RENTALS
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 5952 KAREN AVE
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City | CYPRESS
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State | CA
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Zip | 90630-3313
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Country | US
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Telephone | 714-220-0756
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Fax | 714-220-0756
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Provider Business Mailing Address
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Address Line | 5952 KAREN AVE
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City | CYPRESS
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State | CA
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Zip | 90630-3313
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Country | US
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Telephone | 714-220-0756
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Fax | 714-220-0756
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MR. JOHN ANDREW DAMUTH
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Credential |
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Telephone | 714-220-0756
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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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