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General NPI Number Information
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NPI Number | 1255966719
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Entity Type | Organization
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Legal Business Name | CRJ SERVICES LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 3104 HAYLING DR
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City | RALEIGH
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State | NC
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Zip | 27610-2290
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Country | US
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Telephone | 305-321-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 HAYLING DR
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City | RALEIGH
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State | NC
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Zip | 27610-2290
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Country | US
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Telephone | 305-321-2487
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | MRS. JUDITH Y DELGADO
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Credential | ECT
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Telephone | 305-321-2487
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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 | 385H00000X
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Taxonomy Name | 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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