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General NPI Number Information
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NPI Number | 1730221599
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Entity Type | Organization
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Legal Business Name | JCR MEDICAL EQUIPMENT INC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10650 NW 29TH TER
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City | DORAL
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State | FL
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Zip | 33172-2195
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Country | US
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Telephone | 305-262-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 10650 NW 29TH TER
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City | DORAL
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State | FL
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Zip | 33172-2195
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Country | US
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Telephone | 305-262-7004
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Fax | 305-262-7006
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE RODRIGUEZ
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Credential |
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Telephone | 305-262-7004
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 1052
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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