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General NPI Number Information
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NPI Number | 1104670736
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Entity Type | Organization
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Legal Business Name | COMMUNITY SUPPORT SOLUTIONS INC
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 99 6TH ST SW STE 103
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City | WINTER HAVEN
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State | FL
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Zip | 33880-7902
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Country | US
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Telephone | 863-656-1406
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Fax | 863-808-5430
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Provider Business Mailing Address
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Address Line | 211 BROAD ST
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City | WINTER HAVEN
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State | FL
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Zip | 33881-9025
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Country | US
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Telephone | 863-656-1406
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Fax | 863-808-5430
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Authorized Official
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Title or Position | AGENCY OWNER
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Name | MRS. DAPHNNE L. ARNOLD
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Credential | MBA
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Telephone | 863-656-1406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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