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General NPI Number Information
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NPI Number | 1164774477
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Entity Type | Organization
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Legal Business Name | ALMOST HOME DAYBREAK
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3604 CARDINAL POINT DR
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City | JACKSONVILLE
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State | FL
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Zip | 32257-5581
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Country | US
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Telephone | 904-731-4002
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Fax | 904-731-0002
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Provider Business Mailing Address
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Address Line | 3604 CARDINAL POINT DR
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City | JACKSONVILLE
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State | FL
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Zip | 32257-5581
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Country | US
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Telephone | 904-731-4002
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Fax | 904-731-0002
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Authorized Official
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Title or Position | C.E.O.
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Name | JAMIE L. GLAVICH
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Credential |
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Telephone | 904-731-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 9109
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License Number State | FL
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