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General NPI Number Information
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NPI Number | 1831593334
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Entity Type | Organization
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Legal Business Name | FAMILY ADVOCATES, INC
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 2601 TECHNOLOGY DR
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City | ORLANDO
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State | FL
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Zip | 32804-8003
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Country | US
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Telephone | 727-201-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 TECHNOLOGY DR
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City | ORLANDO
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State | FL
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Zip | 32804-8003
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Country | US
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Telephone | 727-201-7979
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Fax |
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Authorized Official
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Title or Position | TCM SUPERVISOR
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Name | MR. BENJAMIN KYLE DUNN-CONROW
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Credential | BA
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Telephone | 727-201-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 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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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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