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NPI 1750751046

NPI 1750751046 : JEWEL PROPERTY SOLUTIONS, LLC : HAVERTOWN, PA

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General NPI Number Information
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    NPI Number           |    1750751046
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    Entity Type          |    Organization 
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    Legal Business Name  |    JEWEL PROPERTY SOLUTIONS, LLC 
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Dates
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    Enumeration Date     |    09/30/2015
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    Last Update Date     |    09/30/2015
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Provider Practice Location Address
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    Address Line         |    5 BENNINGTON RD 
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    City                 |    HAVERTOWN
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    State                |    PA
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    Zip                  |    19083-5711
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    Country              |    US
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    Telephone            |    610-449-2883
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    Fax                  |    610-449-2883
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Provider Business Mailing Address
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    Address Line         |    5 BENNINGTON RD 
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    City                 |    HAVERTOWN
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    State                |    PA
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    Zip                  |    19083-5711
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. JULIA  RENZULLI 
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    Credential           |    R.N.
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    Telephone            |    610-449-2883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    RN318037L
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    License Number State |    PA
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