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General NPI Number Information
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NPI Number | 1053963710
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Entity Type | Organization
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Legal Business Name | CONNECTING COMMUNITIES AND FAMILIES, INC
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 3370 TIPPERARY DR
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-8086
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Country | US
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Telephone | 404-732-4465
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Fax |
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Provider Business Mailing Address
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Address Line | 970 MARTIN LUTHER KING JR. DR. NW SUITE 201
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City | ALTANTA
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State | GA
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Zip | 30314
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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 | FOUNDER/EXECUTIVE DIRECTOR
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Name | MRS. ROSIE PALMER
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Credential | MSHRM
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Telephone | 404-688-6559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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