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General NPI Number Information
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NPI Number | 1053620708
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Entity Type | Organization
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Legal Business Name | JMB CAREGIVING SERVICES, INC.
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 10600 SE MCLOUGHLIN BLVD SUITE 212
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City | MILWAUKIE
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State | OR
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Zip | 97222-7428
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Country | US
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Telephone | 503-850-4569
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Fax | 503-850-4562
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Provider Business Mailing Address
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Address Line | 10600 SE MCLOUGHLIN BLVD SUITE 212
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City | MILWAUKIE
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State | OR
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Zip | 97222-7428
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Country | US
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Telephone | 503-850-4569
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Fax | 503-850-4562
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | MS. JANE M BEISELL
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Credential | CIA
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Telephone | 503-850-4569
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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 | 15-2239
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License Number State | OR
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