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General NPI Number Information
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NPI Number | 1477154680
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Entity Type | Organization
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Legal Business Name | C.N.E HEALTH CARE LLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 10859 JESSICA ASH DR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-6537
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Country | US
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Telephone | 904-510-8711
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Fax | 904-240-0050
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Provider Business Mailing Address
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Address Line | PO BOX 41631
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City | JACKSONVILLE
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State | FL
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Zip | 32203-1631
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Country | US
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Telephone | 904-577-5627
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Fax | 904-240-0050
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CHRISTAL CRAWFORD-SMITH
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Credential |
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Telephone | 904-577-5627
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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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