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General NPI Number Information
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NPI Number | 1013811157
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Entity Type | Organization
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Legal Business Name | INFINITE SUPPORTS NWF INC
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 2870 US HIGHWAY 90
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City | COTTONDALE
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State | FL
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Zip | 32431-7002
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Country | US
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Telephone | 850-693-0411
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Fax | 334-292-2088
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Provider Business Mailing Address
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Address Line | 2870 US HIGHWAY 90
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City | COTTONDALE
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State | FL
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Zip | 32431-7002
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Country | US
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Telephone | 850-693-0411
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Fax | 334-292-2088
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. THERESA DIRLEAN DANIELS
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Credential |
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Telephone | 850-693-0411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NULL
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