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General NPI Number Information
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NPI Number | 1063995744
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Entity Type | Organization
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Legal Business Name | KDAWKINS LLC
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 841 PRUDENTIAL DR # 1229
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8329
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Country | US
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Telephone | 904-445-8322
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2682
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City | JACKSONVILLE
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State | FL
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Zip | 32203-2682
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Country | US
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Telephone | 904-445-8322
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEITH DAWKINS
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Credential |
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Telephone | 904-445-8322
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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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