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General NPI Number Information
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NPI Number | 1245401074
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Entity Type | Organization
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Legal Business Name | C&J HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 506 S HWY 27 SUITE E
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City | MINNEOLA
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State | FL
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Zip | 34715-2702
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Country | US
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Telephone | 352-432-5909
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Fax | 352-432-5910
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Provider Business Mailing Address
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Address Line | 506 S HWY 27 SUITE E
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City | MINNEOLA
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State | FL
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Zip | 34715-2702
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Country | US
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Telephone | 352-432-5909
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Fax | 352-432-5910
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Authorized Official
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Title or Position | ADMINISTRATOR/CO OWNER
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Name | MR. WAYNE JACQUES
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Credential |
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Telephone | 352-432-5909
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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 | PENDING
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License Number State |
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