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General NPI Number Information
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NPI Number | 1265077911
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Entity Type | Organization
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Legal Business Name | UNITED ASSISTANCE 4 LIFE, LLC
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Dates
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Enumeration Date | 11/16/2019
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 8058 SWAMP FLOWER DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6161
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Country | US
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Telephone | 904-532-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 4232 ARBOR MILL CIR
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City | ORANGE PARK
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State | FL
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Zip | 32065-3204
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Country | US
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Telephone | 904-532-5186
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LEAUNDRIA SHAHEED
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Credential |
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Telephone | 904-532-5186
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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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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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