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General NPI Number Information
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NPI Number | 1295306991
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Entity Type | Organization
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Legal Business Name | JTC HOME HEALTH, INC.
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Dates
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Enumeration Date | 07/05/2021
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Last Update Date | 07/05/2021
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Provider Practice Location Address
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Address Line | 2801 CAMINO DEL RIO S STE 318-1
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City | SAN DIEGO
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State | CA
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Zip | 92108-3800
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Country | US
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Telephone | 619-230-5568
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Fax | 619-566-4166
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Provider Business Mailing Address
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Address Line | 2801 CAMINO DEL RIO S STE 318-1
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City | SAN DIEGO
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State | CA
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Zip | 92108-3800
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Country | US
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Telephone | 619-230-5568
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Fax | 619-566-4166
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Authorized Official
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Title or Position | CEO
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Name | JUDE THADDEUS CHUA III
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Credential |
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Telephone | 619-230-5568
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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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