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General NPI Number Information
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NPI Number | 1912857004
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Entity Type | Organization
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Legal Business Name | JOURNEY MEDICAL PRODUCTS LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1303 W EVERGREEN AVE STE 103
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City | EFFINGHAM
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State | IL
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Zip | 62401-1638
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Country | US
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Telephone | 217-342-5211
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Fax | 217-540-7536
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Provider Business Mailing Address
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Address Line | 2600 S RANEY ST
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City | EFFINGHAM
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State | IL
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Zip | 62401-4219
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Country | US
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Telephone | 217-342-5211
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Fax | 217-540-7536
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Authorized Official
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Title or Position | INSURANCE CONTRACTS MANAGER/COMPLIA
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Name | REBECCA MORRIS
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Credential |
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Telephone | 217-342-3412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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