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General NPI Number Information
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NPI Number | 1063295459
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Entity Type | Organization
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Legal Business Name | JEMCARE LLC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 7420 UNITY AVE N STE 310C
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3162
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Country | US
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Telephone | 651-329-7272
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Fax | 762-267-7318
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Provider Business Mailing Address
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Address Line | 7420 UNITY AVE N STE 310C
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3162
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Country | US
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Telephone | 651-329-7272
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Fax | 762-267-7311
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | WILSON EKINDE
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Credential | REGISTERED NURSE
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Telephone | 651-329-7272
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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 |
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