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General NPI Number Information
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NPI Number | 1700187697
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Entity Type | Organization
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Legal Business Name | OUT AND ABOUT PEOPLE, INC
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 98B MASTERS DR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32084-3133
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Country | US
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Telephone | 904-827-9745
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Fax | 904-827-9745
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Provider Business Mailing Address
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Address Line | 98B MASTERS DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-3133
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Country | US
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Telephone | 904-827-9745
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Fax | 904-827-9745
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | MS. FREDIA LASHEL BACKMAN
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Credential | PROVIDER
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Telephone | 904-347-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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