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General NPI Number Information
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NPI Number | 1962805499
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Entity Type | Organization
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Legal Business Name | J&M ADULT CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 4017 MCHOWARD RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23237-1406
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Country | US
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Telephone | 804-271-7706
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Fax | 804-271-7708
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Provider Business Mailing Address
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Address Line | PO BOX 34646
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-0646
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Country | US
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Telephone | 804-271-7706
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Fax | 804-271-7708
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARGARET MOORE
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Credential |
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Telephone | 804-271-7706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 615-01-036
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License Number State | VA
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