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General NPI Number Information
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NPI Number | 1982899217
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Entity Type | Organization
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Legal Business Name | CJ MEDICAL
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2236 BAYVILLE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-2861
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Country | US
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Telephone | 757-724-2244
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Fax | 757-363-2805
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Provider Business Mailing Address
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Address Line | 2236 BAYVILLE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-2861
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Country | US
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Telephone | 757-724-2244
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Fax | 757-363-2805
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Authorized Official
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Title or Position | SALES MANAGER
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Name | MR. SHANE JAMISON
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Credential |
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Telephone | 757-724-2244
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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 | VA
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