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General NPI Number Information
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NPI Number | 1033545199
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Entity Type | Organization
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Legal Business Name | JENNINGS PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 2921 MARTIN LANE
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City | MONTGOMERY
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State | AL
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Zip | 36116
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Country | US
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Telephone | 334-300-6901
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Fax | 334-239-7485
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Provider Business Mailing Address
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Address Line | 3536 DRESDEN DRIVE
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City | MONTGOMERY
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State | AL
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Zip | 36111
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Country | US
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Telephone | 334-300-6901
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Fax | 334-239-7485
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | VERNITA JENNINGS
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Credential |
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Telephone | 334-300-6901
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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 | 1030
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License Number State | AL
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