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General NPI Number Information
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NPI Number | 1346543915
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTHY SOLUTIONS OF JACKSONVILLE INC
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 9191 SKINNER PKWAY SUITE 503
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 904-509-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 12463 ALADDIN RD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-3209
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Country | US
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Telephone | 904-509-1777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANDREA BETH SIMPSON
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Credential | CBS
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Telephone | 904-509-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4528 BF
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License Number State | FL
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