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General NPI Number Information
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NPI Number | 1437469798
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Entity Type | Organization
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Legal Business Name | JCNH, INC
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 100 N SPRING ST
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City | PENSACOLA
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State | FL
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Zip | 32502-4813
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Country | US
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Telephone | 850-477-1947
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Fax | 850-477-1939
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Provider Business Mailing Address
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Address Line | 100 N SPRING ST
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City | PENSACOLA
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State | FL
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Zip | 32502-4813
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Country | US
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Telephone | 850-477-1947
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Fax | 850-477-1939
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. CARLETTE NICHOLS HOWELL
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Credential | OWNER
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Telephone | 850-477-1947
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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 | 299992539
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License Number State | FL
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