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General NPI Number Information
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NPI Number | 1649620733
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Entity Type | Organization
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Legal Business Name | JNM SENIOR SERVICES INC.
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 5178 DR PHILLIPS BLVD
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City | ORLANDO
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State | FL
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Zip | 32819-3312
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Country | US
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Telephone | 407-232-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 5178 DR PHILLIPS BLVD
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City | ORLANDO
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State | FL
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Zip | 32819-3312
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Country | US
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Telephone | 407-232-7155
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MR. JAMES PASQUINELLI
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Credential |
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Telephone | 407-232-7155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 299994419
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License Number State | FL
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