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General NPI Number Information
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NPI Number | 1801060074
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Entity Type | Organization
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Legal Business Name | JCH INC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 800 W PIERCE ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5218
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Country | US
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Telephone | 575-885-3082
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Fax | 575-885-5331
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Provider Business Mailing Address
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Address Line | 800 W PIERCE ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5218
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Country | US
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Telephone | 575-885-3082
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Fax | 575-885-5331
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | CARL E LIEBERWIRTH
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Credential |
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Telephone | 575-885-3082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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