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General NPI Number Information
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NPI Number | 1760656128
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Entity Type | Organization
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Legal Business Name | JTM HOMES, INC.
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 81 ARLINGTON DR
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1126
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Country | US
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Telephone | 650-991-2601
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Fax | 650-991-2098
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Provider Business Mailing Address
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Address Line | 81 ARLINGTON DR
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-1126
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Country | US
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Telephone | 650-991-2601
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Fax | 650-991-2098
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JENNIFER GUERRERO MOREIRA
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Credential |
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Telephone | 650-996-9198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | CA
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