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General NPI Number Information
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NPI Number | 1932810363
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Entity Type | Organization
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Legal Business Name | JMF GROUP INC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 6245 RUFE SNOW DR STE 240
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City | WATAUGA
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State | TX
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Zip | 76148-3350
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Country | US
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Telephone | 817-985-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 880 LAKE CAROLYN PKWY APT 527
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City | IRVING
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State | TX
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Zip | 75039-1322
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Country | US
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Telephone | 469-394-7037
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JAIRO MONTOYA
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Credential | DDS
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Telephone | 817-985-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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