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General NPI Number Information
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NPI Number | 1639202666
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Entity Type | Organization
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Legal Business Name | JCP&P HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 3605 BROADWAY BLVD STE B
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City | GARLAND
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State | TX
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Zip | 75043-1647
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Country | US
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Telephone | 214-638-4500
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Fax | 214-399-4356
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Provider Business Mailing Address
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Address Line | 1003 WESTMINISTER AVE SUITE B
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City | MURPHY
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State | TX
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Zip | 75094-4458
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Country | US
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Telephone | 214-289-8627
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Fax | 214-399-4356
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JANE NNALU EKWONYE
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Credential | RN
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Telephone | 214-638-4500
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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 | 009658
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License Number State | TX
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