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General NPI Number Information
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NPI Number | 1851630263
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Entity Type | Organization
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Legal Business Name | BJ&W INDUSTRIES LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 1033 S FORT HOOD ST SUITE 200-124
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City | KILLEEN
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State | TX
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Zip | 76541-7436
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Country | US
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Telephone | 254-768-1506
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Fax | 254-765-1506
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Provider Business Mailing Address
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Address Line | 1033 S FORT HOOD ST SUITE 200-124
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City | KILLEEN
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State | TX
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Zip | 76541-7436
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Country | US
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Telephone | 254-768-1506
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Fax | 254-765-1506
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Authorized Official
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Title or Position | OWNER
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Name | JOKIA WILLIAMS
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Credential |
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Telephone | 254-768-1506
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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 | 801720631
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License Number State | TX
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