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General NPI Number Information
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NPI Number | 1114916020
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Entity Type | Organization
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Legal Business Name | BJK ENTERPRISES, INC
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 306 E RANDOL MILL RD SUITE 160
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City | ARLINGTON
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State | TX
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Zip | 76011-5819
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Country | US
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Telephone | 817-461-0154
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Fax | 817-275-9792
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Provider Business Mailing Address
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Address Line | 306 E RANDOL MILL RD SUITE 160
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City | ARLINGTON
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State | TX
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Zip | 76011-5819
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Country | US
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Telephone | 817-461-0154
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Fax | 817-275-9792
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MRS. BALINDA JEAN ANTOINE
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Credential |
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Telephone | 817-461-0154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 007850
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License Number State | TX
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