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General NPI Number Information
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NPI Number | 1043657471
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Entity Type | Organization
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Legal Business Name | JB CARE LLC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 1224 S RIVER RD SUITE B 228
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City | ST GEORGE
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State | UT
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Zip | 84790-8285
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Country | US
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Telephone | 435-674-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 SOUTH RIVER ROAD SUITE B 228
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City | ST. GEORGE
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State | UT
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Zip | 84790
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Country | US
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Telephone | 435-674-3434
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHAN W. BOWLER
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Credential |
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Telephone | 435-632-7130
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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 | 2013PCAUT000566
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License Number State |
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