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General NPI Number Information
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NPI Number | 1952312506
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Entity Type | Organization
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Legal Business Name | JSB ENTERPRISES INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 5054 GERRARDSTOWN ROAD
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City | INWOOD
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State | WV
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Zip | 25428
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Country | US
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Telephone | 304-229-2400
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Fax | 304-229-2906
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Provider Business Mailing Address
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Address Line | PO BOX 1903
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City | INWOOD
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State | WV
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Zip | 25428-1903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | J SCOTT BOYD
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Credential | RPH
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Telephone | 304-229-3879
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | SP0552336
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License Number State | WV
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