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General NPI Number Information
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NPI Number | 1144269036
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Entity Type | Organization
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Legal Business Name | NEIGHBOR TO FAMILY, INC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 150 S PALMETTO AVE BOX R SUITE 200
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4385
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Country | US
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Telephone | 386-248-0712
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Fax | 386-248-0916
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Provider Business Mailing Address
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Address Line | 220 S RIDGEWOOD AVE SUITE 260
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4393
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Country | US
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Telephone | 386-523-1440
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Fax | 386-523-1459
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. GORDON JOHNSON
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Credential | LLD,MED
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Telephone | 386-523-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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