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General NPI Number Information
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NPI Number | 1558061994
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Entity Type | Organization
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Legal Business Name | RN DISABILITY & CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 4411 SUNBEAM RD # 56721
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City | JACKSONVILLE
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State | FL
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Zip | 32257-7525
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Country | US
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Telephone | 904-990-4774
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56721
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City | JACKSONVILLE
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State | FL
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Zip | 32241-6721
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Country | US
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Telephone | 904-990-4774
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. TA'SHARA T WHITEHEAD
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Credential | RN
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Telephone | 904-990-4774
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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