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General NPI Number Information
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NPI Number | 1265394530
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Entity Type | Organization
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Legal Business Name | NETTIE LOVING CARE SERVICE
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 9265 SEAWOLF CT
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City | JACKSONVILLE
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State | FL
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Zip | 32221-8049
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Country | US
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Telephone | 904-240-6249
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Fax |
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Provider Business Mailing Address
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Address Line | 9265 SEAWOLF CT
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City | JACKSONVILLE
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State | FL
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Zip | 32221-8049
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Country | US
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Telephone | 904-240-6249
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAMEIKA FERANDA DOWELL
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Credential |
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Telephone | 904-240-6249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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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 | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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