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General NPI Number Information
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NPI Number | 1932576121
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Entity Type | Organization
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Legal Business Name | JATD SENIOR CARE AND CONSULTING
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1850 BOSTWICK RD BUILDING A SUITE 100
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City | COLUMBUS
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State | OH
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Zip | 43227-3374
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Country | US
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Telephone | 614-253-5283
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Fax |
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Provider Business Mailing Address
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Address Line | 109 ROBINETTE ST
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City | PICKERINGTON
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State | OH
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Zip | 43147-7831
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Country | US
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Telephone | 614-253-5283
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JILL HOWARD
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Credential |
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Telephone | 614-253-5283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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