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General NPI Number Information
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NPI Number | 1548523806
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Entity Type | Organization
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Legal Business Name | HJJ HOMES, INC.
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 28441 MEADOW GLEN WAY W
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City | ESCONDIDO
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State | CA
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Zip | 92026-6832
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Country | US
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Telephone | 760-580-8575
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Fax | 760-749-6111
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Provider Business Mailing Address
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Address Line | 28441 MEADOW GLEN WAY W
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City | ESCONDIDO
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State | CA
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Zip | 92026-6832
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Country | US
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Telephone | 760-580-8575
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Fax | 760-749-6111
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. HOWARD D BOYER
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Credential |
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Telephone | 760-580-8575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 374602941
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License Number State | CA
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