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General NPI Number Information
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NPI Number | 1417867854
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Entity Type | Organization
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Legal Business Name | D&K WELLNESS AND BEHAVIORAL HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 4107 MONCRIEF RD
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City | JACKSONVILLE
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State | FL
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Zip | 32209-3935
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Country | US
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Telephone | 904-707-0533
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Fax |
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Provider Business Mailing Address
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Address Line | 4107 MONCRIEF RD
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City | JACKSONVILLE
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State | FL
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Zip | 32209-3935
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Country | US
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Telephone | 904-707-0533
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SAMANTHA PATTERSON
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Credential |
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Telephone | 904-719-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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