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General NPI Number Information
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NPI Number | 1255878716
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Entity Type | Organization
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Legal Business Name | BREAKING CHANGE SERVICES
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 260 S CYPRESS WAY
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City | CASSLEBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-844-0431
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Fax |
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Provider Business Mailing Address
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Address Line | 260 S CYPRESS WAY
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City | CASSELBERRY
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State | FL
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Zip | 32707-3812
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Country | US
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Telephone | 407-844-0431
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CHERYLOU HUGHLEY
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Credential |
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Telephone | 407-844-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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