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General NPI Number Information
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NPI Number | 1366419616
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Entity Type | Organization
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Legal Business Name | JLM HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 45 NE LOOP 410 STE 903B
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5832
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Country | US
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Telephone | 210-377-1033
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Fax | 210-377-2560
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Provider Business Mailing Address
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Address Line | 1500 N GREENVILLE AVE STE 300
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City | RICHARDSON
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State | TX
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Zip | 75081-2266
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Country | US
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Telephone | 817-882-8200
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Fax | 817-882-8789
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Authorized Official
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Title or Position | CFO EVP
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Name | SCOTT GERALD GINN
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Credential |
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Telephone | 225-299-3020
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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 | 013969
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License Number State | TX
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