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General NPI Number Information
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NPI Number | 1811212269
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Entity Type | Organization
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Legal Business Name | JADRON LLC
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 110 HWY 35 NORTH SUITE B
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City | ROCKPORT
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State | TX
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Zip | 78382-7838
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Country | US
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Telephone | 361-727-2131
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Fax | 361-727-2179
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Provider Business Mailing Address
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Address Line | 110 HWY 35 NORTH STE. B
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City | ROCKPORT
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State | TX
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Zip | 78381
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Country | US
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Telephone | 361-727-2131
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Fax | 361-727-2179
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CYNTHIA RENEE WATKINS
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Credential | RN
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Telephone | 361-727-2131
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013476
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License Number State | TX
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