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General NPI Number Information
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NPI Number | 1093628174
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Entity Type | Organization
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Legal Business Name | JEAN CARE FOR HOSPICE LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 2142 N GRANDE VIEW LN
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City | MAYLENE
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State | AL
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Zip | 35114-6009
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Country | US
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Telephone | 205-213-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 2142 N GRANDE VIEW LN
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City | MAYLENE
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State | AL
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Zip | 35114-6009
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Country | US
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Telephone | 205-213-1010
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIETTA N/A FIELDS
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Credential |
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Telephone | 205-213-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State | NULL
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