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General NPI Number Information
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NPI Number | 1316005069
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Entity Type | Organization
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Legal Business Name | JB JOHNSON NURSING CENTER
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 901 1ST ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-1403
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Country | US
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Telephone | 202-535-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 901 1ST ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-1403
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Country | US
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Telephone | 202-535-1100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | SOLANGES VIVENS
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Credential |
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Telephone | 202-282-3102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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