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General NPI Number Information
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NPI Number | 1013419282
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Entity Type | Organization
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Legal Business Name | TRANSCENDENT MULTISERVICE ASSIST, LLC
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 15255 MAX LEGGETT PKWY
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City | JACKSONVILLE
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State | FL
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Zip | 32218-7273
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Country | US
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Telephone | 904-382-1987
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Fax |
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Provider Business Mailing Address
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Address Line | 9526 ARGYLE FOREST BLVD UNIT B2
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City | JACKSONVILLE
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State | FL
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Zip | 32222-2827
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Country | US
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Telephone | 904-382-1987
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Fax |
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Authorized Official
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Title or Position | RNFA
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Name | WENDI J KEENEY
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Credential | RN
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Telephone | 904-382-1987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN9166964
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License Number State | FL
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