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General NPI Number Information
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NPI Number | 1518456292
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Entity Type | Organization
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Legal Business Name | JVR HEALTH CARE
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 1404 WENDFIELD DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-1881
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Country | US
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Telephone | 787-546-4586
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 WENDFIELD DR APT 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-1881
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Country | US
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Telephone | 787-546-4586
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Fax |
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Authorized Official
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Title or Position | ONWER
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Name | JOCELYN VALETNIN
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Credential | RN, BSN
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Telephone | 787-546-4586
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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 | 84068
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License Number State | PR
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