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General NPI Number Information
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NPI Number | 1154280089
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Entity Type | Organization
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Legal Business Name | UTOPIA LIVING LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2015 W 18TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-4714
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Country | US
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Telephone | 904-333-4946
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | JACKSONVILLE
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State | FL
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Zip | 32208-0007
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Country | US
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Telephone | 904-333-4946
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PATRICIA D FORTES
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Credential |
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Telephone | 904-333-4946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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