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General NPI Number Information
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NPI Number | 1215735394
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Entity Type | Organization
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Legal Business Name | SJM MANAGEMENT SOLUTIONS LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 54 CHESTNUT RD
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City | AMITYVILLE
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State | NY
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Zip | 11701-1039
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Country | US
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Telephone | 516-673-3694
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Fax | 631-532-8266
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Provider Business Mailing Address
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Address Line | 204 AIRPORT PLAZA BLVD STE 1118
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City | FARMINGDALE
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State | NY
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Zip | 11735-3946
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Country | US
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Telephone | 516-673-3694
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Fax | 631-532-8266
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHIRLEY JUSTE
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Credential | LPN
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Telephone | 516-673-3694
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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