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General NPI Number Information
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NPI Number | 1487952479
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Entity Type | Organization
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Legal Business Name | R&K FAMILY CENTER, INCORPORATED
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 8401 SOUTHSIDE BLVD APT 1007
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8489
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Country | US
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Telephone | 904-642-3243
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Fax | 904-645-5949
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Provider Business Mailing Address
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Address Line | PO BOX 23740
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City | JACKSONVILLE
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State | FL
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Zip | 32241-3740
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Country | US
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Telephone | 904-642-3243
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Fax | 904-645-5949
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. RAYMOND WILLIAMS IV
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Credential | MPA
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Telephone | 904-502-7814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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