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General NPI Number Information
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NPI Number | 1306847850
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Entity Type | Organization
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Legal Business Name | JENNINGS HEALTHCARE INC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3235 DEANS BRIDGE ROAD
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City | AUGUSTA
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State | GA
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Zip | 30906
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Country | US
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Telephone | 706-798-1430
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Fax | 706-798-4414
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Provider Business Mailing Address
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Address Line | 3235 DEANS BRIDGE ROAD
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City | AUGUSTA
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State | GA
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Zip | 30906
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Country | US
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Telephone | 706-798-1430
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Fax | 706-798-4414
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. THOMAS W PENLEY
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Credential |
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Telephone | 706-855-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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