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General NPI Number Information
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NPI Number | 1730952110
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Entity Type | Organization
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Legal Business Name | CARE2HEALTH LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 5140 GATE PKWY APT 2204
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0234
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Country | US
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Telephone | 904-613-4470
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Fax |
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Provider Business Mailing Address
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Address Line | 4320 DEERWOOD LAKE PARKWAY STE 101 - 302
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-613-4470
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. MONIQUE L WILLIAMS
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Credential | APRN
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Telephone | 904-613-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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