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General NPI Number Information
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NPI Number | 1518997949
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Entity Type | Organization
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Legal Business Name | JRJS HEALTHCARE OPERATIONS LLC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 4208 RETAMA CIR
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City | VICTORIA
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State | TX
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Zip | 77901-2765
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Country | US
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Telephone | 361-582-4493
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Fax | 361-582-4043
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Provider Business Mailing Address
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Address Line | 4208 RETAMA CIR
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City | VICTORIA
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State | TX
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Zip | 77901-2765
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Country | US
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Telephone | 361-582-4493
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Fax | 361-582-4043
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Authorized Official
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Title or Position | CORPORATE FINANCIAL MANAGER
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Name | MRS. TAMMY L BELL
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Credential |
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Telephone | 361-582-0602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 652510000
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License Number State | TX
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