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General NPI Number Information
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NPI Number | 1265215008
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Entity Type | Organization
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Legal Business Name | THE JAVA GROUP LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 110 EVANS MILL DR STE 801
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City | DALLAS
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State | GA
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Zip | 30157-1642
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Country | US
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Telephone | 770-222-7388
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Fax |
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Provider Business Mailing Address
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Address Line | 110 EVANS MILL DR STE 801
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City | DALLAS
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State | GA
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Zip | 30157-1642
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Country | US
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Telephone | 770-222-7388
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | TERESA JANIGA
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Credential |
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Telephone | 770-222-7388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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