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General NPI Number Information
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NPI Number | 1912653924
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Entity Type | Organization
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Legal Business Name | JAI CARE, LLC
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 1869 WOODLAND POINTE DR
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City | NASHVILLE
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State | TN
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Zip | 37214-4735
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Country | US
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Telephone | 901-337-5863
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17163
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City | NASHVILLE
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State | TN
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Zip | 37217-0163
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | BRIAN WILSON
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Credential |
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Telephone | 901-337-5863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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