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This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X | |||
Counselor |
101Y00000X |
| NPI # | 1467134544 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 08/07/2023 |
| Last updated | 08/07/2023 - About 3 years ago |
| Identifiers | n/a |
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TERRANCE L JACKSON SR
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TERRANCE L JACKSON SR