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General NPI Number Information
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NPI Number | 1285008318
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Entity Type | Organization
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Legal Business Name | GLOBAL MEDICAL AND BEHAVIORAL HEALTH CORPORATION
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 1183 SUWANEE RD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5916
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Country | US
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Telephone | 813-997-2397
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 SUWANEE RD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5916
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Country | US
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Telephone | 813-997-2397
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JEFFERY HAYNES
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Credential | PH.D.
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Telephone | 813-997-2397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0001221676
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RN9365072
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN9365072
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0001221676
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0701006086
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | MH8653
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH8653
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License Number State | FL
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