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General NPI Number Information
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NPI Number | 1144977125
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Entity Type | Organization
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Legal Business Name | I AM HERE FOR VETS CORPORATION
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 440 S SEGRAVE ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4818
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Country | US
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Telephone | 386-310-9474
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Fax |
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Provider Business Mailing Address
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Address Line | 440 S SEGRAVE ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4818
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Country | US
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Telephone | 386-310-9474
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD STIFF
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Credential | CRPS, ADDICTION SPEC
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Telephone | 386-383-2129
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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 |
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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 | 333300000X
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Taxonomy Name | Emergency Response System Companies
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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