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General NPI Number Information
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NPI Number | 1720916174
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Entity Type | Organization
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Legal Business Name | JEM23,LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 32 WINE ST
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City | HAMPTON
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State | VA
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Zip | 23669-4046
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Country | US
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Telephone | 757-224-8879
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Fax |
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Provider Business Mailing Address
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Address Line | 32 WINE ST
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City | HAMPTON
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State | VA
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Zip | 23669-4046
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Country | US
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Telephone | 757-224-8879
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ELISHA MILLER
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Credential | RN
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Telephone | 757-224-8879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 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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