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General NPI Number Information
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NPI Number | 1427700103
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Entity Type | Organization
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Legal Business Name | CHOICES FOR SUCCESS LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 4132 POND CYPRESS CT
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City | TALLAHASSEE
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State | FL
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Zip | 32310-6357
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Country | US
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Telephone | 850-567-6671
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20467
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City | TALLAHASSEE
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State | FL
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Zip | 32316-0467
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Country | US
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Telephone | 850-567-6671
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | YOLANDA MORRIS
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Credential |
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Telephone | 850-567-6671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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