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General NPI Number Information
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NPI Number | 1821888371
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Entity Type | Individual
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Provider Name | COLISHA PLUMMER
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 33322 DARLEY DALE TRL
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-5341
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Country | US
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Telephone | 954-464-1707
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Fax |
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Provider Business Mailing Address
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Address Line | 33322 DARLEY DALE TRL
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-5341
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Country | US
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Telephone | 813-245-6505
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | FL
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Taxonomy #2
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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 |
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License Number State | FL
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Taxonomy #3
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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 | FL
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | FL
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