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General NPI Number Information
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NPI Number | 1700436219
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Entity Type | Organization
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Legal Business Name | ACUMEN CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 5818 NORMANDY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6253
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Country | US
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Telephone | 904-329-7356
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 NORMANDY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6253
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Country | US
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Telephone | 904-207-9914
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RODDRICK G BROWN
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Credential |
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Telephone | 904-207-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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