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General NPI Number Information
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NPI Number | 1710356266
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Entity Type | Organization
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Legal Business Name | JB3 INNOVATIONS, LLC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 802 SUMMER PARK DR STE 203
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City | STAFFORD
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State | TX
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Zip | 77477-5573
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Country | US
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Telephone | 888-224-6160
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Fax | 888-224-6160
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Provider Business Mailing Address
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Address Line | 6140 HIGHWAY 6 STE 209
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3802
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Country | US
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Telephone | 888-224-6160
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Fax | 888-224-6160
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. JONATHAN BENDER
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Credential |
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Telephone | 303-324-2856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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