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General NPI Number Information
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NPI Number | 1235085150
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Entity Type | Organization
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Legal Business Name | VANN RAINEY LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 707 W LAKE DR
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City | WIMAUMA
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State | FL
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Zip | 33598-3507
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Country | US
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Telephone | 813-570-8005
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 CLIMBING DAYFLOWER DR
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City | RUSKIN
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State | FL
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Zip | 33570-4949
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Country | US
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Telephone | 813-570-8005
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES HAROLD VANN
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Credential |
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Telephone | 813-409-9502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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