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General NPI Number Information
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NPI Number | 1437721875
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Entity Type | Organization
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Legal Business Name | CARE W DIGNITY LLC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 768 SAINT CLAIR ST
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City | JACKSONVILLE
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State | FL
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Zip | 32254-3145
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Country | US
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Telephone | 904-444-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 768 SAINT CLAIR ST
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City | JACKSONVILLE
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State | FL
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Zip | 32254-3145
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Country | US
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Telephone | 904-444-1430
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TRACY M JONES
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Credential |
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Telephone | 904-444-1430
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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 |
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License Number State |
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