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General NPI Number Information
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NPI Number | 1558048637
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Entity Type | Organization
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Legal Business Name | JS HEALTH SERVICES
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 28362 ISLAND DR
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City | LACOMBE
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State | LA
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Zip | 70445-2638
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Country | US
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Telephone | 844-623-7587
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Fax |
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Provider Business Mailing Address
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Address Line | 28362 ISLAND DR
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City | LACOMBE
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State | LA
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Zip | 70445-2638
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Country | US
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Telephone | 844-623-7587
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER A SOBAL
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Credential | NCIP
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Telephone | 435-459-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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