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General NPI Number Information
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NPI Number | 1700602745
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Entity Type | Organization
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Legal Business Name | JBC ENTEPRISE, LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 6125 ROSWELL RD UNIT 510
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City | ATLANTA
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State | GA
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Zip | 30328-3939
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Country | US
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Telephone | 678-512-9259
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Fax |
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Provider Business Mailing Address
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Address Line | 227 SANDY SPRINGS PLACE P.O. BOX 196
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City | SANDY SPRINGS
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State | GA
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Zip | 30328
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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 | JAMAYA O. SMITH
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Credential |
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Telephone | 678-512-9359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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