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General NPI Number Information
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NPI Number | 1104783174
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Entity Type | Organization
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Legal Business Name | BOBBI'S TOTAL CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 10752 DEERWOOD PARK BLVD STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4846
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Country | US
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Telephone | 904-800-4775
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Fax |
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Provider Business Mailing Address
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Address Line | 4862 OCEAN FOREST LN
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-5625
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Country | US
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Telephone | 904-403-4903
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Fax |
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Authorized Official
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Title or Position | HEALTH CARE PROVIDER
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Name | ROBERTA LOGSDON
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Credential | PMHNP
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Telephone | 904-403-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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