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General NPI Number Information
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NPI Number | 1497071948
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Entity Type | Organization
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Legal Business Name | JP, INC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 2917 BURROUGHS DRIVE #7
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City | ORLANDO
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State | FL
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Zip | 32818-5614
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Country | US
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Telephone | 407-209-7788
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Fax | 407-412-6857
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Provider Business Mailing Address
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Address Line | 2917 BURROUGHS DR APT 7
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City | ORLANDO
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State | FL
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Zip | 32818-2746
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Country | US
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Telephone | 407-209-7788
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Fax | 407-412-6857
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Authorized Official
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Title or Position | OWNER
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Name | MS. KEISHA LOWE
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Credential |
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Telephone | 407-209-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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