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NPI 1093399065

NPI 1093399065 : JME MISSION , INC. : CALABASAS, CA

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General NPI Number Information
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    NPI Number           |    1093399065
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    Entity Type          |    Organization 
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    Legal Business Name  |    JME MISSION , INC. 
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Dates
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    Enumeration Date     |    05/06/2021
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    Last Update Date     |    05/06/2021
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Provider Practice Location Address
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    Address Line         |    4414 PARK JAZMIN 
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    City                 |    CALABASAS
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    State                |    CA
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    Zip                  |    91302-1723
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    Country              |    US
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    Telephone            |    310-430-0483
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    Fax                  |    888-885-9768
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Provider Business Mailing Address
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    Address Line         |    1976 S LA CIENEGA BLVD STE 623 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90034-1627
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    Country              |    US
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    Telephone            |    310-430-0483
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    Fax                  |    888-885-9768
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JASON  EDDY 
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    Credential           |    CSA
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    Telephone            |    310-430-0483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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