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General NPI Number Information
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NPI Number | 1235280991
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOME SOCIETY OF FLORIDA
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1631 E VINE ST
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City | KISSIMMEE
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State | FL
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Zip | 34744-3728
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Country | US
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Telephone | 407-943-3003
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Fax | 407-943-3016
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Provider Business Mailing Address
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Address Line | 1485 S SEMORAN BLVD
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City | WINTER PARK
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State | FL
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Zip | 32792-5533
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Country | US
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Telephone | 321-397-3000
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Fax | 321-397-3020
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAM OPERATIONS
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Name | MR. WILL JONES
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Credential |
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Telephone | 407-943-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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