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NPI 1093581779

NPI 1093581779 : NJ'S PERSONALIZED CARE, LLC : DANVILLE, VA

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General NPI Number Information
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    NPI Number           |    1093581779
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    Entity Type          |    Organization 
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    Legal Business Name  |    NJ'S PERSONALIZED CARE, LLC 
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Dates
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    Enumeration Date     |    12/04/2023
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    Last Update Date     |    12/04/2023
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Provider Practice Location Address
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    Address Line         |    154 KENTUCK RD APT 53G 
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    City                 |    DANVILLE
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    State                |    VA
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    Zip                  |    24540-5092
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    Country              |    US
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    Telephone            |    434-203-9936
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    154 KENTUCK RD APT 53G 
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    City                 |    DANVILLE
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    State                |    VA
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    Zip                  |    24540-5092
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    Country              |    US
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    Telephone            |    434-203-9936
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |     NOVA  JONES 
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    Credential           |    
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    Telephone            |    434-203-9936
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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       |    
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    License Number State |    
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