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General NPI Number Information
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NPI Number | 1871100214
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Entity Type | Organization
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Legal Business Name | CJ SERVICES TEXAS LLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 423 CHAMPIONS DR
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8935
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Country | US
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Telephone | 956-280-5586
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Fax | 956-801-2418
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Provider Business Mailing Address
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Address Line | 423 CHAMPIONS DR
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8935
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Country | US
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Telephone | 956-280-5586
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Fax | 956-801-2418
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JUAN C IBARRA
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Credential |
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Telephone | 956-459-7266
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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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