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General NPI Number Information
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NPI Number | 1326724196
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Entity Type | Organization
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Legal Business Name | JCJ ENDEAVORS, INC.
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 1522 MORGAN ST
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City | KEOKUK
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State | IA
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Zip | 52632-4028
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Country | US
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Telephone | 319-214-0286
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Fax | 319-524-0609
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Provider Business Mailing Address
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Address Line | 1522 MORGAN ST
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City | KEOKUK
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State | IA
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Zip | 52632-4028
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Country | US
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Telephone | 319-214-0286
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Fax | 319-524-0609
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | JAMIE JOSLIN
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Credential | MS
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Telephone | 319-214-0386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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