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General NPI Number Information
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NPI Number | 1841832888
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Entity Type | Organization
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Legal Business Name | SAFEGUARD JOY LLC
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 8111 W 400 S
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City | WINAMAC
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State | IN
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Zip | 46996
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Country | US
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Telephone | 219-954-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 W 400 S
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City | WINAMAC
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State | IN
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Zip | 46996
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Country | US
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Telephone | 219-954-0054
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | STEPHANIE MICHELLE PARISH
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Credential | CFMP
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Telephone | 219-954-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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