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General NPI Number Information
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NPI Number | 1871638288
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Entity Type | Organization
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Legal Business Name | JERICHO HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 954 E MADISON ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5950
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Country | US
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Telephone | 956-546-7500
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Fax | 956-546-3245
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Provider Business Mailing Address
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Address Line | 954 E MADISON ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-5950
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Country | US
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Telephone | 956-546-7500
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Fax | 956-546-3245
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Authorized Official
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Title or Position | C.F.O.
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Name | MR. ZAUL Z ZAMORA
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Credential |
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Telephone | 956-546-7500
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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 | 009279
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License Number State | TX
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