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General NPI Number Information
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NPI Number | 1639456338
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Entity Type | Organization
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Legal Business Name | TRANSITIONS BEHAVIORAL AND SUPPORT SERVICES, INC.
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 10507 NW 146TH PL
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City | ALACHUA
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State | FL
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Zip | 32615-5723
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Country | US
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Telephone | 352-284-0055
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Fax | 386-462-1795
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Provider Business Mailing Address
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Address Line | 10507 NW 146TH PL
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City | ALACHUA
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State | FL
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Zip | 32615-5723
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Country | US
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Telephone | 352-284-0055
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Fax | 386-462-1795
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Authorized Official
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Title or Position | CEO, DIRECTOR OF SUPPORT SERVICES
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Name | MRS. TAWANNA KAY LUMPKINS
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Credential |
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Telephone | 352-284-0055
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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 | 0-05-1666
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License Number State | FL
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