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General NPI Number Information
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NPI Number | 1891720314
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Entity Type | Organization
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Legal Business Name | J D BROWN & CO INC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 837 PLAINFIELD RD
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City | JOLIET
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State | IL
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Zip | 60435-4660
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Country | US
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Telephone | 815-723-0611
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Fax | 815-723-7865
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Provider Business Mailing Address
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Address Line | 837 PLAINFIELD RD
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City | JOLIET
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State | IL
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Zip | 60435-4660
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Country | US
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Telephone | 815-723-0611
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Fax | 815-723-7865
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Authorized Official
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Title or Position | OWNER /MANAGER
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Name | MR. JAMES D PRITZ
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Credential | B.S. R.PH.
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Telephone | 815-723-0611
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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 | IL
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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 |
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License Number State | IL
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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 | 054006443
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054006443
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License Number State | IL
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