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General NPI Number Information
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NPI Number | 1750123493
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Entity Type | Organization
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Legal Business Name | JASPEN CARE LLC
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4330 N POST RD
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City | LAWRENCE
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State | IN
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Zip | 46226-4219
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Country | US
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Telephone | 463-224-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 704 S STATE ROAD 135 # D335
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City | GREENWOOD
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State | IN
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Zip | 46143-6561
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Country | US
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Telephone | 463-224-0433
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. ANNE CELESTIN-DUGE
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Credential | RN
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Telephone | 463-224-0433
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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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