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General NPI Number Information
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NPI Number | 1710657663
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Entity Type | Organization
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Legal Business Name | TJG SERVICES, LLC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 2111 E BASELINE RD STE B4
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City | TEMPE
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State | AZ
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Zip | 85283-1517
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Country | US
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Telephone | 480-676-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 S GAUCHO
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City | MESA
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State | AZ
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Zip | 85202-7313
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Country | US
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Telephone | 480-200-7147
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOM GUTIERREZ
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Credential |
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Telephone | 480-200-7147
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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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