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General NPI Number Information
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NPI Number | 1558919886
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Entity Type | Organization
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Legal Business Name | J&C HEALTHCARE LLC
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 10329 DEMOCRACY LN STE B
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City | FAIRFAX
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State | VA
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Zip | 22030-2559
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Country | US
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Telephone | 703-682-2197
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Fax |
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Provider Business Mailing Address
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Address Line | 25284 PLANTING FIELD DR
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City | CHANTILLY
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State | VA
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Zip | 20152-4459
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Country | US
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Telephone | 203-823-8136
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEILING CHEN
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Credential |
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Telephone | 703-682-2197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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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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