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General NPI Number Information
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NPI Number | 1083209936
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Entity Type | Organization
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Legal Business Name | JNCB ELITE SERVICES, LLC
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 10320 LITTLE PATUXENT PKWY STE 225
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City | COLUMBIA
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State | MD
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Zip | 21044-3313
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Country | US
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Telephone | 888-534-0625
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Fax | 888-534-1645
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Provider Business Mailing Address
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Address Line | 10320 LITTLE PATUXENT PKWY STE 225
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City | COLUMBIA
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State | MD
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Zip | 21044-3313
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Country | US
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Telephone | 888-534-0625
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Fax | 888-534-1645
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Authorized Official
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Title or Position | REGISTERED NURSE/OWNER
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Name | MS. JESSICA NICOLE FRAZIER
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Credential | RN
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Telephone | 888-534-0625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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