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General NPI Number Information
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NPI Number | 1295997245
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Entity Type | Organization
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Legal Business Name | JNCC GROUP, INC
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 1826 N ALAFAYA TRL STE 200
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City | ORLANDO
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State | FL
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Zip | 32826-4703
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Country | US
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Telephone | 407-427-1990
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Fax | 407-362-7090
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Provider Business Mailing Address
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Address Line | 1826 N ALAFAYA TRAIL SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32826
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Country | US
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Telephone | 407-427-1990
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Fax | 407-362-7090
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JASON PARRIS
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Credential | OWNER
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Telephone | 407-437-1504
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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 | 299993032
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License Number State | FL
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