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General NPI Number Information
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NPI Number | 1134551070
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Entity Type | Organization
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Legal Business Name | JD NURSING AND MANAGEMENT
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 08/02/2013
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Provider Practice Location Address
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Address Line | 6120 KANSAS AVENUE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1531
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Country | US
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Telephone | 202-722-7776
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Fax | 202-722-7785
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Provider Business Mailing Address
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Address Line | 6120 KANSAS AVENUE NW,
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City | WASHINGTON
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State | DC
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Zip | 20011-1531
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | H/R ASSISTANT
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Name | MR. BLESSING OKERE
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Credential |
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Telephone | 202-722-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 038654300
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License Number State | DC
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