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General NPI Number Information
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NPI Number | 1598684474
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Entity Type | Organization
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Legal Business Name | CHRIST CARES PATIENT SERVICES PLLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 12220 ATLANTIC BLVD STE 130
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City | JACKSONVILLE
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State | FL
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Zip | 32225-5826
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Country | US
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Telephone | 904-750-4505
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Fax | 904-750-4503
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Provider Business Mailing Address
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Address Line | 12220 ATLANTIC BLVD STE 130
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City | JACKSONVILLE
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State | FL
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Zip | 32225-5826
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Country | US
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Telephone | 904-750-4505
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Fax | 904-750-4503
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Authorized Official
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Title or Position | MANAGER
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Name | JASMYNE PEREZ
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Credential |
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Telephone | 904-750-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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