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General NPI Number Information
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NPI Number | 1639880636
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Entity Type | Organization
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Legal Business Name | JW MEDICAL GROUP INC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 6220 S ORANGE BLOSSOM TRL STE 193
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City | ORLANDO
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State | FL
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Zip | 32809-4630
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Country | US
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Telephone | 800-585-0501
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Fax |
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Provider Business Mailing Address
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Address Line | 6220 S ORANGE BLOSSOM TRL STE 193
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City | ORLANDO
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State | FL
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Zip | 32809-4630
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Country | US
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Telephone | 800-585-0501
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VICTORIA JEANNE JACOB
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Credential |
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Telephone | 800-585-0501
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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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