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General NPI Number Information
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NPI Number | 1225331499
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Entity Type | Organization
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Legal Business Name | K & A SERVICES, CORP
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 9266 ADAMS AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32208-2208
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Country | US
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Telephone | 904-551-6770
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Fax | 904-619-2688
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Provider Business Mailing Address
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Address Line | 9266 ADAMS AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32208-2208
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Country | US
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Telephone | 904-551-6770
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Fax | 904-619-2688
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RUTHIE ANN JOHNSON
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Credential |
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Telephone | 904-551-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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