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General NPI Number Information
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NPI Number | 1962371971
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Entity Type | Organization
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Legal Business Name | JRMJ, LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 305 E 20TH ST STE 100
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City | HOPE
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State | AR
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Zip | 71801-8218
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Country | US
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Telephone | 918-600-2701
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Fax | 539-390-3009
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Provider Business Mailing Address
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Address Line | 305 E 20TH ST STE 100
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City | HOPE
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State | AR
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Zip | 71801-8218
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Country | US
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Telephone | 918-600-2701
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Fax | 539-390-3009
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | REBECCA B. WILLIAMSON
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Credential |
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Telephone | 918-685-2896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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