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General NPI Number Information
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NPI Number | 1710118328
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Entity Type | Organization
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Legal Business Name | CALMING HEALTHCARE SUPPORT SERVICES INC
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 1279 KINGSLEY AVE 116
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City | ORANGE PARK
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State | FL
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Zip | 32073-4603
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Country | US
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Telephone | 904-644-8457
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Fax | 904-644-8459
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Provider Business Mailing Address
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Address Line | 1279 KINGSLEY AVE 116
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City | ORANGE PARK
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State | FL
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Zip | 32073-4603
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Country | US
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Telephone | 904-644-8457
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Fax | 904-644-8459
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Authorized Official
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Title or Position | PRESIDEN/CEO
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Name | MR. EMMANUEL OKEY NTUI
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Credential | NURSE REGISTRY
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Telephone | 904-644-8457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 30211403
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License Number State | FL
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