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General NPI Number Information
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NPI Number | 1396867560
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Entity Type | Organization
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Legal Business Name | JCU SERVICES, INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 4800 SUGAR GROVE BLVD SUITE 385
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City | STAFFORD
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State | TX
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Zip | 77477-2635
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Country | US
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Telephone | 281-864-4044
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Fax | 281-242-0616
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Provider Business Mailing Address
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Address Line | 4800 SUGAR GROVE BLVD SUITE 385
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City | STAFFORD
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State | TX
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Zip | 77477-2635
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Country | US
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Telephone | 281-864-4044
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Fax | 281-242-0616
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Authorized Official
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Title or Position | ADMINISTRATOR-DON
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Name | JUSTIN CHANDLER
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Credential |
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Telephone | 713-225-5495
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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 | 010022
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License Number State | TX
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