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General NPI Number Information
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NPI Number | 1588762926
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Entity Type | Organization
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Legal Business Name | JASCAM, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7731 CLARIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77071-1816
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Country | US
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Telephone | 713-771-3512
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 711126
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City | HOUSTON
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State | TX
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Zip | 77271-1126
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Country | US
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Telephone | 713-771-1137
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MEREDITH VILLAFANA
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Credential |
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Telephone | 713-771-3512
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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 | 009005
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License Number State | TX
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