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General NPI Number Information
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NPI Number | 1376258004
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Entity Type | Organization
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Legal Business Name | WE CARE FAMILY CARE LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 525 N NEWNAN ST
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City | JACKSONVILLE
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State | FL
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Zip | 32202-3121
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Country | US
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Telephone | 904-933-8533
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Fax |
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Provider Business Mailing Address
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Address Line | 3765 VICTORIA LAKES DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32226-5881
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Country | US
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Telephone | 904-933-8533
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Fax |
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Authorized Official
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Title or Position | NP/OWNER
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Name | LASHENA JACKSON
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Credential |
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Telephone | 904-933-8533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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