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General NPI Number Information
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NPI Number | 1457910937
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Entity Type | Organization
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Legal Business Name | CAREFIRST SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 6722 ARLINGTON EXPY
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City | JACKSONVILLE
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State | FL
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Zip | 32211-7234
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Country | US
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Telephone | 904-554-8372
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37984
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City | JACKSONVILLE
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State | FL
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Zip | 32236-7984
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Country | US
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Telephone | 904-554-8372
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY TOOMBS
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Credential |
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Telephone | 678-789-1302
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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 |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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