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General NPI Number Information
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NPI Number | 1699097618
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Entity Type | Organization
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Legal Business Name | JLM GROUP INC
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 7000 STORAGE CT SUITE 4
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City | COLUMBUS
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State | GA
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Zip | 31907-0700
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Country | US
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Telephone | 678-664-6492
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Fax | 770-234-4025
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Provider Business Mailing Address
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Address Line | 7000 STORAGE CT SUITE 4
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City | COLUMBUS
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State | GA
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Zip | 31907-0700
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Country | US
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Telephone | 678-664-6492
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Fax | 770-234-4025
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Authorized Official
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Title or Position | CEO
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Name | JOSE L MEDINA
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Credential |
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Telephone | 678-664-6492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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