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General NPI Number Information
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NPI Number | 1437858610
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Entity Type | Organization
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Legal Business Name | SERVANTS COMMUNIYT CARE, LLC.
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 613 SILVER PASS
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City | OCALA
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State | FL
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Zip | 34472-2230
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Country | US
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Telephone | 772-206-6142
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Fax |
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Provider Business Mailing Address
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Address Line | 603 E FORT KING ST
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City | OCALA
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State | FL
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Zip | 34471-2235
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Country | US
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Telephone | 772-206-6142
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIMMY L PAGE
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Credential | PROVIDER
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Telephone | 772-206-6142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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