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General NPI Number Information
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NPI Number | 1710144605
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Entity Type | Organization
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Legal Business Name | JEMA SERVICES INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 1840 SW 22ND ST STE 102
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City | MIAMI
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State | FL
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Zip | 33145-2748
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Country | US
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Telephone | 305-603-9546
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Fax | 786-364-7121
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Provider Business Mailing Address
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Address Line | 1840 SW 22ND ST STE 102
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City | MIAMI
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State | FL
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Zip | 33145-2748
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Country | US
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Telephone | 305-603-9546
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Fax | 786-364-7121
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARLENE CANIZALEZ
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Credential |
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Telephone | 786-877-2019
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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