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General NPI Number Information
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NPI Number | 1780173526
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Entity Type | Organization
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Legal Business Name | JULES NOVALL LLC
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 4600 TOUCHTON RD
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City | JACKSONVILLE
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State | FL
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Zip | 32246
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Country | US
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Telephone | 832-660-4792
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 TOUCHTON RD
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City | JACKSONVILLE
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State | FL
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Zip | 32246
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Country | US
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Telephone | 832-660-4792
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Fax |
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Authorized Official
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Title or Position | MR.
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Name | JOHN O OKPURUGHRE
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Credential |
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Telephone | 832-660-4792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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