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General NPI Number Information
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NPI Number | 1053222828
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Entity Type | Organization
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Legal Business Name | ASCEND COMMUNITY SUPPORT NETWORK LLC
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 11255 CREEK HAVEN DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-6209
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Country | US
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Telephone | 240-703-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 11255 CREEK HAVEN DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-6209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LYISSA CHATMON
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Credential |
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Telephone | 240-703-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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