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General NPI Number Information
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NPI Number | 1982401576
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Entity Type | Organization
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Legal Business Name | JOBECA SERVICES INC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2699 STIRLING RD STE C306A
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City | DAVIE
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State | FL
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Zip | 33312-6564
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Country | US
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Telephone | 786-663-8398
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Fax |
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Provider Business Mailing Address
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Address Line | 2699 STIRLING RD STE C306A
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City | DAVIE
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State | FL
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Zip | 33312-6564
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Country | US
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Telephone | 786-663-8398
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORGE ALBERTO BENCOMO
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Credential |
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Telephone | 786-663-8398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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