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General NPI Number Information
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NPI Number | 1316684830
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Entity Type | Organization
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Legal Business Name | GEMS OF JACKSON CHILD CARE & EDUCATION CENTER LLC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 1203 1ST ST STE 2
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City | JACKSON
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State | MI
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Zip | 49203-3034
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Country | US
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Telephone | 248-421-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 1ST ST STE 2
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City | JACKSON
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State | MI
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Zip | 49203-3034
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Country | US
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Telephone | 248-421-4594
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. VITTORIA JIMERSON
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Credential |
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Telephone | 248-421-4594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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