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General NPI Number Information
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NPI Number | 1326987439
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Entity Type | Organization
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Legal Business Name | JEAN MARIE LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 16185 LOS GATOS BLVD STE 205
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City | LOS GATOS
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State | CA
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Zip | 95032-4569
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Country | US
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Telephone | 408-560-1940
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Fax | 408-560-1941
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Provider Business Mailing Address
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Address Line | 1411 CHERRYDALE DR
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City | SAN JOSE
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State | CA
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Zip | 95125-4432
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Country | US
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Telephone | 310-926-0072
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Fax | 310-926-0072
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Authorized Official
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Title or Position | OWNER
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Name | NOEL E MONTERASTELLI
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Credential |
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Telephone | 310-926-0072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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