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General NPI Number Information
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NPI Number | 1679867659
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Entity Type | Organization
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Legal Business Name | JESLIA INC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 13405 FOLSOM BLVD SUITE 513
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City | FOLSOM
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State | CA
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Zip | 95630-4737
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Country | US
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Telephone | 916-351-0794
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Fax | 888-472-0883
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Provider Business Mailing Address
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Address Line | 13405 FOLSOM BLVD SUITE 513
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City | FOLSOM
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State | CA
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Zip | 95630-4737
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Country | US
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Telephone | 916-351-0794
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Fax | 888-472-0883
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Authorized Official
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Title or Position | PRESIDENT
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Name | YAN QU
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Credential |
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Telephone | 916-351-0794
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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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