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General NPI Number Information
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NPI Number | 1730971839
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Entity Type | Organization
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Legal Business Name | BLUEPRINT FUTURES
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 3096 POOLE RD
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City | KINSTON
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State | NC
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Zip | 28504-5917
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Country | US
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Telephone | 850-264-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 FOXDALE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32210-4696
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Country | US
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Telephone | 850-264-7122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RODNEY LANDERS II
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Credential |
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Telephone | 850-264-7122
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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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