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General NPI Number Information
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NPI Number | 1326975285
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Entity Type | Organization
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Legal Business Name | NATIONWIDE COMMUNITY OUTREACH LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 4229 MONCRIEF RD W # B2
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City | JACKSONVILLE
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State | FL
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Zip | 32209-1668
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Country | US
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Telephone | 904-577-1554
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Fax |
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Provider Business Mailing Address
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Address Line | 4229 MONCRIEF RD W APT B2
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City | JACKSONVILLE
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State | FL
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Zip | 32209-1668
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Country | US
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Telephone | 904-577-1554
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARY M RICHARDSON
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Credential |
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Telephone | 904-577-1554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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