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General NPI Number Information
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NPI Number | 1942040357
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Entity Type | Organization
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Legal Business Name | J & L CARE AND SUPPLIES LLC
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 11043 FUQUA ST STE C
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City | HOUSTON
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State | TX
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Zip | 77089-2510
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Country | US
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Telephone | 346-313-6648
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Fax | 713-910-0604
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Provider Business Mailing Address
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Address Line | PO BOX 752206
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City | HOUSTON
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State | TX
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Zip | 77275-2206
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Country | US
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Telephone | 346-313-6648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE J VILLARREAL
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Credential |
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Telephone | 346-313-6648
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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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