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General NPI Number Information
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NPI Number | 1710117346
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Entity Type | Organization
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Legal Business Name | AVINGTON CARE, INC.
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 31038 HARPER BRANCH PL
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-7123
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Country | US
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Telephone | 813-454-1145
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Fax | 813-991-7860
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Provider Business Mailing Address
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Address Line | 31038 HARPER BRANCH PL
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-7123
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Country | US
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Telephone | 813-454-1145
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Fax | 813-991-7860
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMAAL AVINGTON BARNETT
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Credential |
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Telephone | 813-454-1145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 000945300
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License Number State | FL
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