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General NPI Number Information
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NPI Number | 1801752548
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Entity Type | Organization
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Legal Business Name | JET SERVICES
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 5246 PENNRIDGE LN
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City | DALLAS
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State | TX
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Zip | 75241-1203
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Country | US
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Telephone | 682-240-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 954 FOXBORO LN
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City | DALLAS
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State | TX
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Zip | 75241-1921
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Country | US
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Telephone | 682-240-2422
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | ENEIDA SIMPSON GOFF
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Credential | M.ED.
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Telephone | 214-797-9458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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