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General NPI Number Information
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NPI Number | 1831440718
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Entity Type | Organization
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Legal Business Name | J&B MEDICAL SUPPLY CO INC
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 204 E PECAN ST SUITE E
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City | CELINA
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State | TX
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Zip | 75009-6152
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Country | US
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Telephone | 972-382-8410
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Fax | 972-382-8414
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Provider Business Mailing Address
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Address Line | 50496 PONTIAC TRL
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City | WIXOM
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State | MI
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Zip | 48393-2088
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Country | US
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Telephone | 800-737-0045
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Fax | 800-737-0012
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Authorized Official
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Title or Position | PRES/CEO
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Name | MARY E SHAYA
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Credential |
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Telephone | 800-737-0045
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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 | L2234704
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License Number State | MI
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