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General NPI Number Information
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NPI Number | 1215853205
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Entity Type | Organization
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Legal Business Name | VILORA LLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 1025 COURT ST
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City | JACKSONVILLE
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State | FL
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Zip | 32208-3412
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Country | US
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Telephone | 904-343-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 1943 BLUEBONNET WAY
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-7462
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEANA PRATTIS
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Credential |
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Telephone | 904-343-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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