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General NPI Number Information
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NPI Number | 1134665169
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Entity Type | Organization
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Legal Business Name | D'JANNIC GROUP LLC
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Dates
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Enumeration Date | 01/14/2017
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Last Update Date | 01/14/2017
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Provider Practice Location Address
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Address Line | 7100 STEVENSON BLVD SUITE 304
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City | FREMONT
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State | CA
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Zip | 94538-2485
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Country | US
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Telephone | 510-398-7494
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Fax | 510-398-7495
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Provider Business Mailing Address
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Address Line | 7100 STEVENSON BLVD SUITE 304
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City | FREMONT
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State | CA
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Zip | 94538-2485
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Country | US
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Telephone | 510-398-7494
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Fax | 510-398-7495
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Authorized Official
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Title or Position | CEO
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Name | MR. JONN MAHATMA DMARTIN
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Credential |
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Telephone | 925-864-6128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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