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General NPI Number Information
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NPI Number | 1801151832
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Entity Type | Organization
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Legal Business Name | NURSES 4 JASON
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 409 E MADISON ST
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City | DILLON
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State | SC
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Zip | 29536-2555
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Country | US
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Telephone | 843-319-6268
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Fax | 843-774-0499
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Provider Business Mailing Address
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Address Line | 411 PLEASANT HILL RD
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City | DILLON
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State | SC
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Zip | 29536-6128
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Country | US
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Telephone | 843-319-6268
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Fax | 843-774-0499
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. JANE G. BLUM
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Credential | RN, MN, CLNC
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Telephone | 843-319-6268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN.46946
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License Number State | SC
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