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General NPI Number Information
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NPI Number | 1326938069
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Entity Type | Organization
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Legal Business Name | JJ REJUVENATION HEALING CENTER, INC.
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 3675 RUFFIN RD STE 135
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City | SAN DIEGO
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State | CA
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Zip | 92123-1897
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Country | US
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Telephone | 858-405-8808
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 99565
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City | SAN DIEGO
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State | CA
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Zip | 92169-1565
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Country | US
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Telephone | 858-405-8808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIE JERKINS
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Credential |
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Telephone | 858-405-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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