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General NPI Number Information
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NPI Number | 1619883626
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Entity Type | Organization
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Legal Business Name | JCM ENTERPRISE
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 2078 AUTUMN MOON DR UNIT 1
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City | WINDSOR
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State | CO
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Zip | 80550-3716
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Country | US
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Telephone | 336-918-3157
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Fax |
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Provider Business Mailing Address
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Address Line | 2078 AUTUMN MOON DR UNIT 1
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City | WINDSOR
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State | CO
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Zip | 80550-3716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMEKA CHERRI MELTON
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Credential |
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Telephone | 336-918-3157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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