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General NPI Number Information
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NPI Number | 1679760482
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Entity Type | Organization
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Legal Business Name | JASSI 88 INC.
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 724 S PRESIDENT ST UNIT - A
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City | WHEATON
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State | IL
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Zip | 60189-6606
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Country | US
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Telephone | 630-682-5492
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Fax | 630-682-5493
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Provider Business Mailing Address
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Address Line | 724 S PRESIDENT ST UNIT - A
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City | WHEATON
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State | IL
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Zip | 60189-6606
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Country | US
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Telephone | 630-682-5492
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Fax | 630-682-5493
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIHIR PARIKH
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Credential |
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Telephone | 630-625-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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