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General NPI Number Information
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NPI Number | 1053906750
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Entity Type | Organization
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Legal Business Name | JROBZ, INC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 641 RIMVIEW DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-4447
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Country | US
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Telephone | 210-616-1905
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 826
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City | JEROME
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State | ID
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Zip | 83338-5482
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Country | US
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Telephone | 210-616-1905
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | BETTY ZUNIGA BENNETT
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Credential | RN
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Telephone | 210-616-1905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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