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General NPI Number Information
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NPI Number | 1528508223
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Entity Type | Organization
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Legal Business Name | JV'S FOUNDATION CORP
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 37 N ORANGE AVE 500
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City | ORLANDO
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State | FL
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Zip | 32801-2449
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Country | US
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Telephone | 321-352-9949
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Fax | 407-730-6124
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Provider Business Mailing Address
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Address Line | 927 S GOLDWYN AVE 231
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City | ORLANDO
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State | FL
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Zip | 32805-4324
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Country | US
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Telephone | 321-352-9949
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Fax | 407-730-6124
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | GLENDA DENISE LEWIS
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Credential |
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Telephone | 321-352-9949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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