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General NPI Number Information
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NPI Number | 1679383707
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Entity Type | Organization
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Legal Business Name | VILLAGE SUPPORT SYSTEM SERVICES THE VILLAGE
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 8746 CLAIBORNE CT
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City | ORLANDO
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State | FL
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Zip | 32825-3498
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Country | US
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Telephone | 407-300-1171
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Fax |
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Provider Business Mailing Address
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Address Line | 8746 CLAIBORNE CT
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City | ORLANDO
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State | FL
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Zip | 32825-3498
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Country | US
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Telephone | 407-300-1171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYDIA E ORTIZ DAVILA
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Credential | BCBA
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Telephone | 407-300-1171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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