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NPI 1528545944

NPI 1528545944 : YOU FIRST SUPPORT SERVICES INC : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1528545944
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    Entity Type          |    Organization 
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    Legal Business Name  |    YOU FIRST SUPPORT SERVICES INC 
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Dates
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    Enumeration Date     |    07/27/2018
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    Last Update Date     |    07/27/2018
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Provider Practice Location Address
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    Address Line         |    840 EDGEWOOD AVE S STE 203 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32205-0813
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    Country              |    US
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    Telephone            |    904-683-9878
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    840 EDGEWOOD AVE S STE 203 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32205-0813
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    Country              |    US
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    Telephone            |    904-683-9878
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRIDGET  BRIGHTMAN 
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    Credential           |    
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    Telephone            |    904-237-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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