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General NPI Number Information
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NPI Number | 1528126141
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Entity Type | Organization
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Legal Business Name | J. C. HOME CARE INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 9309 OLD KINGS RD S STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6180
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Country | US
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Telephone | 904-448-9827
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Fax | 904-425-4948
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Provider Business Mailing Address
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Address Line | 9309 OLD KINGS RD S STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6180
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Country | US
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Telephone | 904-448-9827
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Fax | 904-425-4948
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. JAE HOON CHUNG
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Credential |
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Telephone | 904-448-9827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2275
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License Number State | FL
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