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General NPI Number Information
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NPI Number | 1457681363
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Entity Type | Organization
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Legal Business Name | FREEDOM OF CHOICE SUPPORT SERVICES, INC.
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 3800 INVERRARY BLVD STE 100P
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City | LAUDERHILL
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State | FL
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Zip | 33319-4316
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Country | US
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Telephone | 954-895-0295
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Fax | 954-533-1425
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Provider Business Mailing Address
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Address Line | 200 PENNSYLVANIA AVE
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City | FT. LAUDERDALE
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State | FL
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Zip | 33312-1833
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Country | US
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Telephone | 954-895-0295
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Fax | 954-533-1425
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. CINDY DONNA WATKINS
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Credential |
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Telephone | 954-895-0295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | FL
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