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General NPI Number Information
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NPI Number | 1427864735
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Entity Type | Organization
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Legal Business Name | BEJOY HOUSE OF JOY
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 19701 LULL ST
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City | WINNETKA
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State | CA
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Zip | 91306-2676
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Country | US
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Telephone | 818-824-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 19701 LULL ST
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City | WINNETKA
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State | CA
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Zip | 91306-2676
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Country | US
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Telephone | 818-824-2253
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Fax |
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Authorized Official
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Title or Position | CEO / REGISTERED NURSE
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Name | BETTY GRAY
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Credential | RN
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Telephone | 818-824-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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