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General NPI Number Information
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NPI Number | 1043757685
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Entity Type | Organization
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Legal Business Name | JOIN I, LLC
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 349 SOUTHPORT CIR STE 106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1161
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Country | US
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Telephone | 757-961-4077
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Fax |
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Provider Business Mailing Address
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Address Line | 349 SOUTHPORT CIR STE 106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1161
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Country | US
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Telephone | 757-961-4077
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Fax | 757-802-9431
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONATHON WILDER
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Credential |
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Telephone | 704-896-5782
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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 | VA
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