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General NPI Number Information
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NPI Number | 1962773507
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Entity Type | Organization
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Legal Business Name | JH COMMUNITY SERVICES, INC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 1931 MOTT AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4100
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Country | US
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Telephone | 718-327-8888
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Fax | 718-327-8886
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Provider Business Mailing Address
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Address Line | 1931 MOTT AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4100
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Country | US
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Telephone | 718-327-8888
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Fax | 718-327-8886
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. KENNETH YABOH
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Credential |
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Telephone | 718-327-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | S520
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License Number State | NY
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