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General NPI Number Information
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NPI Number | 1538541826
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Entity Type | Organization
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Legal Business Name | JKL CARE SERVICES INC
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 191 MAPLEWOOD AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-2521
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Country | US
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Telephone | 201-981-3953
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Fax |
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Provider Business Mailing Address
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Address Line | 305 E 86TH ST APT. 10HW
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City | NEW YORK
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State | NY
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Zip | 10028-4702
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Country | US
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Telephone | 201-981-3953
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY LIPP
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Credential |
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Telephone | 201-981-3953
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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 |
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License Number State |
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