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General NPI Number Information
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NPI Number | 1477038883
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Entity Type | Organization
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Legal Business Name | JAKINCARE LLC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 3730 KIRBY DR STE 1200
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City | HOUSTON
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State | TX
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Zip | 77098-3985
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Country | US
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Telephone | 202-706-1734
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Fax | 713-583-1030
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Provider Business Mailing Address
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Address Line | 3730 KIRBY DR STE 1200
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City | HOUSTON
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State | TX
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Zip | 77098-3985
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Country | US
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Telephone | 202-706-1734
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Fax | 713-583-1030
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Authorized Official
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Title or Position | OWNER
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Name | OLUSEYI IDOWU
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Credential |
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Telephone | 202-706-1734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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