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General NPI Number Information
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NPI Number | 1043834773
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Entity Type | Organization
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Legal Business Name | A&J HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 5707 BLACK DRUM
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6398
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Country | US
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Telephone | 210-427-0509
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Fax |
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Provider Business Mailing Address
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Address Line | 5707 BLACK DRUM
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6398
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Country | US
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Telephone | 210-427-0509
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ASOH MBEH MABO
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Credential | NP
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Telephone | 210-427-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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