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General NPI Number Information
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NPI Number | 1710524806
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Entity Type | Organization
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Legal Business Name | ACCESSABLE AGING, LLC
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Dates
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Enumeration Date | 12/08/2019
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 1663 JAYHAWK LN E
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City | JACKSONVILLE
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State | FL
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Zip | 32221-8018
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Country | US
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Telephone | 904-800-9874
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17391
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City | JACKSONVILLE
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State | FL
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Zip | 32245-7391
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Country | US
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Telephone | 904-800-9874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AYESHA M HARRIS
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Credential |
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Telephone | 904-800-9874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224ZE0001X
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Taxonomy Name | Environmental Modification Occupational Therapy Assistant
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 224ZL0004X
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Taxonomy Name | Low Vision Occupational Therapy Assistant
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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 | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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