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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1740540525 |
| LBN Legal business name | JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC |
| Authorized official | MARY CHEN - (EXECTIVE VP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/25/2012 |
| Last updated | 10/31/2024 - More than a year ago |
| Identifiers | n/a |
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JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC