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General NPI Number Information
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NPI Number | 1356850614
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Entity Type | Organization
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Legal Business Name | JEEM ENTERPRISES INC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 34072 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-2644
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Country | US
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Telephone | 727-205-0022
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Fax | 727-205-0002
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Provider Business Mailing Address
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Address Line | 34072 US HIGHWAY 19 N.
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City | PALM HARBOR
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State | FL
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Zip | 34684
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Country | US
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Telephone | 727-205-0022
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Fax | 727-205-0002
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Authorized Official
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Title or Position | OWNER
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Name | JOHN RODENBUSH
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Credential |
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Telephone | 727-205-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299994640
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License Number State | FL
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