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General NPI Number Information
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NPI Number | 1164176897
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Entity Type | Organization
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Legal Business Name | J AND D QUALITY CARE INC.
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 1743 POMPANO DR
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City | POINCIANA
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State | FL
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Zip | 34759-4702
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Country | US
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Telephone | 646-670-2989
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Fax | 904-204-0143
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Provider Business Mailing Address
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Address Line | 1743 POMPANO DR
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City | POINCIANA
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State | FL
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Zip | 34759-4702
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Country | US
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Telephone | 646-670-2989
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Fax | 904-204-0143
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Authorized Official
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Title or Position | VP
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Name | MR. KENNETH ROPER
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Credential | LPN
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Telephone | 646-670-2989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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