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General NPI Number Information
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NPI Number | 1083086656
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Entity Type | Organization
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Legal Business Name | EDUCATION & EMPOWERMENT, INC.
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 2001 BARTOW RD
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City | LAKELAND
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State | FL
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Zip | 33801-6556
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Country | US
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Telephone | 863-709-4848
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 685
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City | WAVERLY
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State | FL
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Zip | 33877-0685
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Country | US
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Telephone | 863-709-4848
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KIMBERLEE A. MOORE
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Credential |
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Telephone | 863-709-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 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 | FL
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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