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General NPI Number Information
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NPI Number | 1306735717
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Entity Type | Organization
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Legal Business Name | MJA COMPASSIONATE CAREGIVERS LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2928 HARLEY DR
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City | MARIANNA
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State | FL
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Zip | 32448-2806
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Country | US
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Telephone | 800-380-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 34990 EMERALD COAST PKWY STE 409
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City | DESTIN
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State | FL
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Zip | 32541-8416
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Country | US
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Telephone | 800-380-0977
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LARHONDA BARNES
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Credential |
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Telephone | 800-380-0977
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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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