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General NPI Number Information
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NPI Number | 1952545527
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Entity Type | Organization
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Legal Business Name | JES HOME & HEALTH CARE SERVICES PROVIDER LLC
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 2001 N FLOWER ST
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City | SANTA ANA
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State | CA
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Zip | 92706-2523
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Country | US
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Telephone | 714-834-9742
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Fax | 714-834-9742
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Provider Business Mailing Address
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Address Line | PO BOX 1909
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City | SANTA ANA
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State | CA
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Zip | 92702-1909
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Country | US
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Telephone | 714-834-9742
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Fax | 714-834-9742
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. EDWIN TEVES TUZARA
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Credential |
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Telephone | 714-488-8909
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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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