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General NPI Number Information
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NPI Number | 1538989892
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Entity Type | Organization
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Legal Business Name | JEM C ENTERPRISES
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1652 W TEXAS ST STE 127
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City | FAIRFIELD
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State | CA
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Zip | 94533-5952
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Country | US
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Telephone | 224-432-3783
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Fax | 707-430-5050
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Provider Business Mailing Address
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Address Line | 1652 W TEXAS ST STE 127
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City | FAIRFIELD
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State | CA
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Zip | 94533-5952
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Country | US
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Telephone | 224-432-3783
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Fax | 707-430-5050
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CRISTINA MALLARI
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Credential | REGISTERED NURSE
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Telephone | 224-432-3783
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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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