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General NPI Number Information
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NPI Number | 1649117060
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Entity Type | Organization
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Legal Business Name | JDR TOTAL QUALITY IN-HOME PRO CARE SERVICES, LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 423 BLUE RIVER TRL
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City | ROSENBERG
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State | TX
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Zip | 77471-3375
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Country | US
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Telephone | 405-655-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 423 BLUE RIVER TRL
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City | ROSENBERG
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State | TX
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Zip | 77471-3375
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Country | US
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Telephone | 405-655-1743
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Fax | 405-655-1743
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Authorized Official
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Title or Position | CEO
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Name | DWAYNE DUHANEY
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Credential |
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Telephone | 405-655-1743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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