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General NPI Number Information
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NPI Number | 1720470248
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Entity Type | Organization
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Legal Business Name | JMJ HOMEHEALTH CARE
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 408 EMERALD TRAIL WAY
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City | HORIZON CITY
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State | TX
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Zip | 79928-6474
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Country | US
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Telephone | 915-269-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 408 EMERALD TRAIL WAY
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City | HORIZON CITY
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State | TX
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Zip | 79928-6474
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Country | US
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Telephone | 915-852-5363
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. JOE ESPINOZA
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Credential |
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Telephone | 915-269-4362
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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 | 016631
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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