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General NPI Number Information
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NPI Number | 1659802296
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Entity Type | Organization
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Legal Business Name | BEING THERE FOR YOU
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 5403 COPPEDGE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32277-1377
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Country | US
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Telephone | 904-635-8414
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Fax | 904-760-8191
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Provider Business Mailing Address
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Address Line | 5403 COPPEDGE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32277-1377
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Country | US
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Telephone | 904-635-8414
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Fax | 904-760-8191
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RODRICK G WILLIAMS
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Credential |
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Telephone | 904-635-8414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | CNA 344800
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License Number State | FL
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