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General NPI Number Information
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NPI Number | 1760693014
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Entity Type | Organization
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Legal Business Name | JJP DOCTOR'S CHOICE HOME HEALTH LLC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2685 N CORIA ST STE B1
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8813
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Country | US
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Telephone | 956-574-0276
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Fax | 956-574-0277
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Provider Business Mailing Address
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Address Line | 2685 N CORIA ST STE B1
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8813
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Country | US
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Telephone | 956-574-0276
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Fax | 956-574-0277
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MS. PATRICIA E. FISK
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Credential |
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Telephone | 956-574-0276
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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 | 453168
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License Number State | TX
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