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General NPI Number Information
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NPI Number | 1942450879
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Entity Type | Organization
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Legal Business Name | JPAM MANAGEMENT & CONSULTING INC
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 4359 TAFT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63116-1533
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Country | US
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Telephone | 314-752-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 12844 BIG BEND RD
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City | SAINT LOUIS
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State | MO
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Zip | 63122-5104
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Country | US
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Telephone | 314-374-7419
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN BRENCICK
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Credential |
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Telephone | 314-374-7419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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