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General NPI Number Information
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NPI Number | 1386908473
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Entity Type | Organization
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Legal Business Name | ALIVIA CARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 5450 RAMONA BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32205-4750
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Country | US
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Telephone | 904-361-3902
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Fax |
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Provider Business Mailing Address
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Address Line | 4266 SUNBEAM ROAD ATTN: BONNIE OVERBEY, DIRECTOR OF LEGAL & REGULATORY CO
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City | JACKSONVILLE
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State | FL
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Zip | 32257
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Country | US
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Telephone | 904-407-5050
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Fax | 904-407-8123
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | SUSAN PONDER-STANSEL
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Credential |
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Telephone | 904-268-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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