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General NPI Number Information
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NPI Number | 1639368178
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Entity Type | Organization
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Legal Business Name | J D MOBILE HEALTH SERVICES INC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 511 STILL FOREST TER
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City | SANFORD
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State | FL
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Zip | 32771-8371
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Country | US
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Telephone | 407-416-7172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 951433
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City | LAKE MARY
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State | FL
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Zip | 32795-1433
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Country | US
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Telephone | 407-416-7172
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAVIER DELGADO
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Credential |
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Telephone | 407-416-7172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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