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General NPI Number Information
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NPI Number | 1245997790
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Entity Type | Organization
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Legal Business Name | JLL HEALTHCARE LLC
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 11531 DAVENTRY DR NW
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City | PICKERINGTON
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State | OH
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Zip | 43147-7525
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Country | US
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Telephone | 614-596-7656
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Fax | 614-559-9927
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Provider Business Mailing Address
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Address Line | 11531 DAVENTRY DR NW
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City | PICKERINGTON
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State | OH
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Zip | 43147-7525
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Country | US
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Telephone | 614-596-7656
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Fax | 614-559-9927
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Authorized Official
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Title or Position | OWNER
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Name | KOFI ADOMA
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Credential | BSN,RN
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Telephone | 614-596-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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