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General NPI Number Information
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NPI Number | 1891447462
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Entity Type | Organization
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Legal Business Name | JAM EQUITIES LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1926 KEOKUK ST
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City | IOWA CITY
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State | IA
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Zip | 52240-4410
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Country | US
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Telephone | 847-220-7242
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Fax | 847-232-3201
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Provider Business Mailing Address
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Address Line | 1627 N WOLCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60622-1323
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Country | US
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Telephone | 847-220-7242
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Fax | 847-232-3201
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ASIF POONJA
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Credential |
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Telephone | 847-682-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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