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NPI 1336047067

NPI 1336047067 : RONAY SUPPORT SERVICES : GREEN COVE SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1336047067
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    Entity Type          |    Organization 
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    Legal Business Name  |    RONAY SUPPORT SERVICES 
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Dates
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    Enumeration Date     |    10/31/2026
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    Last Update Date     |    10/31/2026
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Provider Practice Location Address
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    Address Line         |    3130 LOWGAP PL 
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    City                 |    GREEN COVE SPRINGS
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    State                |    FL
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    Zip                  |    32043-7287
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    Country              |    US
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    Telephone            |    757-447-8631
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3130 LOWGAP PL 
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    City                 |    GREEN COVE SPRINGS
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    State                |    FL
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    Zip                  |    32043-7287
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    Country              |    US
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    Telephone            |    757-447-8631
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NADINE  FRAZIER 
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    Credential           |    FRAZIER
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    Telephone            |    757-447-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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