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General NPI Number Information
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NPI Number | 1376071043
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Entity Type | Organization
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Legal Business Name | BKS OF NORTH FLORIDA INC.
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2950 HALCYON LN STE 404
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City | JACKSONVILLE
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State | FL
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Zip | 32223-6691
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Country | US
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Telephone | 904-862-2701
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Fax | 904-862-2702
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Provider Business Mailing Address
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Address Line | 2950 HALCYON LN STE 404
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City | JACKSONVILLE
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State | FL
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Zip | 32223-6691
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Country | US
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Telephone | 904-862-2701
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Fax | 904-862-2702
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KAREN STEMBRIDGE
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Credential |
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Telephone | 904-862-2701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 23104
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License Number State | FL
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