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General NPI Number Information
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NPI Number | 1124726757
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Entity Type | Organization
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Legal Business Name | SUPERIOR COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 3751 VERDE GARDENS CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2982
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Country | US
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Telephone | 904-993-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 3751 VERDE GARDENS CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2982
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Country | US
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Telephone | 904-993-4566
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAMICIA ROBINSON
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Credential |
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Telephone | 904-896-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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