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General NPI Number Information
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NPI Number | 1659448009
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Entity Type | Organization
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Legal Business Name | JCB HEALTH AND MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4606 CENTERVIEW #101
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1214
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Country | US
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Telephone | 210-733-7070
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Fax | 210-733-7075
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Provider Business Mailing Address
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Address Line | 4606 CENTERVIEW #101
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1214
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Country | US
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Telephone | 210-733-7070
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Fax | 210-733-7075
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Authorized Official
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Title or Position | PRESIDENT
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Name | YVONNE ODELUGO
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Credential |
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Telephone | 210-733-7070
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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 | 12058821274
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License Number State | TX
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