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NPI 1700277696

NPI 1700277696 : CUSTOMER SOLUTIONS FIRST, LLC : FORT MYERS, FL

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General NPI Number Information
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    NPI Number           |    1700277696
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUSTOMER SOLUTIONS FIRST, LLC 
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Dates
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    Enumeration Date     |    02/12/2015
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    Last Update Date     |    02/12/2015
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Provider Practice Location Address
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    Address Line         |    3781 METRO PKWY APT.#7202
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33916-7924
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    Country              |    US
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    Telephone            |    239-265-6295
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3781 METRO PKWY APT.#7202
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33916-7924
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    Country              |    US
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    Telephone            |    239-265-6295
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. CRYSTAL  JAMES 
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    Credential           |    HOME HEALTH AIDE
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    Telephone            |    239-265-6295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372500000X
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    Taxonomy Name        |    Chore Provider
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    CERTIFICATENUMBER304
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    License Number State |    FL
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