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General NPI Number Information
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NPI Number | 1679889687
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Entity Type | Organization
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Legal Business Name | J AND R MEDICAL SUPPLY
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 16840 CLAY RD STE. 117
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 281-858-8966
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Fax | 281-858-8506
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Provider Business Mailing Address
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Address Line | 16840 CLAY RD STE. 117
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City | HOUSTON
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State | TX
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Zip | 77084-4228
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Country | US
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Telephone | 281-858-8966
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Fax | 281-858-8506
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Authorized Official
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Title or Position | OWNER
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Name | YENY DEL CARMEN ESTRELLA-GIL
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Credential |
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Telephone | 832-482-5034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition 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 | 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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