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General NPI Number Information
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NPI Number | 1508197716
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Entity Type | Organization
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Legal Business Name | CBJI HOME CARE, LLC
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 505 W OWASSA
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City | EDINBURG
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State | TX
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Zip | 78539-7062
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Country | US
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Telephone | 956-283-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 505 W OWASSA RD
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City | EDINBURG
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State | TX
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Zip | 78539-7062
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Country | US
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Telephone | 956-283-1550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISAAC J TAWIL
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Credential |
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Telephone | 956-283-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 013335
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License Number State | TX
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