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General NPI Number Information
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NPI Number | 1649145228
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Entity Type | Organization
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Legal Business Name | RIVER CITY INTEGRATIVE CARE
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6871 BELFORT OAKS PL STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6242
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Country | US
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Telephone | 904-583-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 6871 BELFORT OAKS PL STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6242
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Country | US
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Telephone | 904-583-3030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY ELIZABETH DRAKE
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Credential |
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Telephone | 954-336-8576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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