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General NPI Number Information
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NPI Number | 1265200174
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Entity Type | Organization
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Legal Business Name | SANTOVENIA CORP
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 6856 SAINT AUGUSTINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2818
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Country | US
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Telephone | 904-600-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 7225 TAHITI RD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3282
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Country | US
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Telephone | 305-282-6625
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLARA MARIA SOWERS
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Credential |
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Telephone | 305-282-6625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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