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General NPI Number Information
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NPI Number | 1598263154
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Entity Type | Organization
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Legal Business Name | JIREH HEALTHCARE LLC
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 18 SUMMIT ST APT 230
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1504
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Country | US
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Telephone | 929-333-0882
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SUMMIT ST APT 230
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1504
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Country | US
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Telephone | 929-333-0882
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Fax |
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Authorized Official
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Title or Position | PT, OWNER
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Name | WHILMA MANITI
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Credential | PT
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Telephone | 929-333-0882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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