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General NPI Number Information
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NPI Number | 1023637766
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Entity Type | Organization
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Legal Business Name | JBNP SERVICES, LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 11/20/2021
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Provider Practice Location Address
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Address Line | 38221 PLYMOUTH RD STE 3
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City | LIVONIA
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State | MI
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Zip | 48150-1051
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Country | US
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Telephone | 734-658-9592
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Fax | 734-293-4240
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Provider Business Mailing Address
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Address Line | 38221 PLYMOUTH RD STE 3
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City | LIVONIA
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State | MI
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Zip | 48150-1051
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Country | US
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Telephone | 734-221-0236
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Fax | 734-293-4240
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JAAFER BEYDOUN
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Credential | NP
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Telephone | 734-658-9592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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