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General NPI Number Information
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NPI Number | 1669559647
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Entity Type | Organization
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Legal Business Name | P&J MEDICAL INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 14450 S ROBERT TRL STE 101
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City | ROSEMOUNT
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State | MN
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Zip | 55068-4952
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Country | US
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Telephone | 651-423-7684
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Fax | 651-423-7170
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Provider Business Mailing Address
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Address Line | 14450 S ROBERT TRL STE 101
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City | ROSEMOUNT
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State | MN
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Zip | 55068-4952
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Country | US
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Telephone | 651-322-7384
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Fax | 651-423-7170
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Authorized Official
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Title or Position | CO-OWNER
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Name | JILL ELIZABETH FRANKE
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Credential |
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Telephone | 651-322-7384
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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 | 4027930
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License Number State | MN
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