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NPI 1154015279

NPI 1154015279 : TOGETHER TOWARDS INDEPENDENCE : PENSACOLA, FL

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General NPI Number Information
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    NPI Number           |    1154015279
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOGETHER TOWARDS INDEPENDENCE 
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Dates
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    Enumeration Date     |    06/05/2023
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    Last Update Date     |    06/05/2023
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Provider Practice Location Address
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    Address Line         |    3042 FLINTLOCK DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32526-8067
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    Country              |    US
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    Telephone            |    850-232-9275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3042 FLINTLOCK DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32526-8067
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    Country              |    US
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    Telephone            |    850-232-9275
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PST
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    Name                 |     RACHEL  PAYNE 
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    Credential           |    
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    Telephone            |    850-232-9275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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