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General NPI Number Information
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NPI Number | 1619129871
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Entity Type | Organization
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Legal Business Name | J-JIREH HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 1140 EMPIRE CENTRAL DR STE 645
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City | DALLAS
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State | TX
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Zip | 75247-4322
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Country | US
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Telephone | 972-861-5540
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Fax | 972-861-5542
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Provider Business Mailing Address
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Address Line | 441 FOREST RIDGE DR
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City | COPPELL
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State | TX
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Zip | 75019-7918
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Country | US
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Telephone | 972-304-7978
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Fax | 972-462-7303
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FLORENCE OBIAGELI NGWU
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Credential |
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Telephone | 972-861-5540
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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 |
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License Number State |
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