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General NPI Number Information
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NPI Number | 1366873648
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Entity Type | Organization
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Legal Business Name | H & J CORP.
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 90 ROLLIE SMITH DR
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City | PIGEON
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State | MI
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Zip | 48755
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Country | US
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Telephone | 989-551-2222
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Fax | 989-453-2285
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Provider Business Mailing Address
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Address Line | 6024 PORT AUSTIN RD
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City | CASEVILLE
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State | MI
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Zip | 48725
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Country | US
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Telephone | 989-856-2500
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Fax | 989-856-3698
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. HERSEL FOULADBASH
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Credential |
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Telephone | 989-551-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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