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General NPI Number Information
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NPI Number | 1679227102
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Entity Type | Organization
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Legal Business Name | J&J GROUP HOME INC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 9234 BARONSMEDE DR
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City | HOUSTON
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State | TX
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Zip | 77083-6241
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Country | US
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Telephone | 806-507-0098
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Fax |
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Provider Business Mailing Address
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Address Line | 9234 BARONSMEDE DR
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City | HOUSTON
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State | TX
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Zip | 77083-6241
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Country | US
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Telephone | 806-507-0098
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOEBUNDUS O ANYAKWO
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Credential | DO
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Telephone | 806-507-0098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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