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NPI 1821361189

NPI 1821361189 : PJM ENTERPRISES INC : SPOTSYLVANIA, VA

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General NPI Number Information
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    NPI Number           |    1821361189
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    Entity Type          |    Organization 
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    Legal Business Name  |    PJM ENTERPRISES INC 
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Dates
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    Enumeration Date     |    02/17/2012
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    Last Update Date     |    02/17/2012
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Provider Practice Location Address
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    Address Line         |    9130 COURTHOUSE RD 
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    City                 |    SPOTSYLVANIA
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    State                |    VA
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    Zip                  |    22553-1902
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    Country              |    US
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    Telephone            |    540-507-8329
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    Fax                  |    540-507-8354
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Provider Business Mailing Address
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    Address Line         |    9130 COURTHOUSE RD PO BOX 2229
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    City                 |    SPOTSYLVANIA
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    State                |    VA
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    Zip                  |    22553-1902
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    Country              |    US
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    Telephone            |    540-507-8329
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    Fax                  |    540-507-8354
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. PATRICK JOHN MEISTER 
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    Credential           |    
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    Telephone            |    540-507-8329
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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 |    VA
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Taxonomy #2
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    VA
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