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General NPI Number Information
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NPI Number | 1437951068
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Entity Type | Organization
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Legal Business Name | PARAKLETOS HOME CARE LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3107 FARMINGTON DR
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City | GREENSBORO
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State | NC
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Zip | 27407-5702
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Country | US
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Telephone | 786-495-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 850 GLENDALE LN
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City | ORANGE PARK
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State | FL
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Zip | 32065-5630
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Country | US
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Telephone | 786-495-6664
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAMILAH LYONS
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Credential |
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Telephone | 786-495-6664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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