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NPI 1417483215

NPI 1417483215 : N & J CARING, LLC : CASTROVILLE, TX

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General NPI Number Information
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    NPI Number           |    1417483215
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    Entity Type          |    Organization 
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    Legal Business Name  |    N & J CARING, LLC 
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Dates
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    Enumeration Date     |    05/11/2017
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    Last Update Date     |    06/07/2017
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Provider Practice Location Address
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    Address Line         |    142 MISTY DAWN 
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    City                 |    CASTROVILLE
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    State                |    TX
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    Zip                  |    78009-3438
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    Country              |    US
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    Telephone            |    830-538-6320
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    142 MISTY DAWN 
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    City                 |    CASTROVILLE
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    State                |    TX
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    Zip                  |    78009-3438
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    Country              |    US
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    Telephone            |    830-538-6320
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     NIKKI NECOLE LEWIS 
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    Credential           |    NP
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    Telephone            |    830-538-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    
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    License Number State |    
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