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General NPI Number Information
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NPI Number | 1588947766
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Entity Type | Organization
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Legal Business Name | TNJ HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 12521 SUNRISE DR
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City | FRISCO
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State | TX
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Zip | 75034-0370
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Country | US
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Telephone | 770-312-6572
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Fax | 469-519-9465
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Provider Business Mailing Address
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Address Line | 12521 SUNRISE DR
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City | FRISCO
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State | TX
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Zip | 75034-0370
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Country | US
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Telephone | 770-312-6572
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Fax | 469-519-9465
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADENIKE OLATERU-OLAGBEGI
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Credential |
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Telephone | 770-312-6572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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