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General NPI Number Information
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NPI Number | 1831720531
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Entity Type | Organization
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Legal Business Name | ESSENTIAL FAMILY AND COMMUNITY SERVICES, LLC
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 135 N. 6TH STREET 1ST. FLOOR SUITE E
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City | HAINES CITY
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State | FL
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Zip | 33844-4247
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Country | US
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Telephone | 863-399-1623
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Fax | 863-576-5464
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Provider Business Mailing Address
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Address Line | 135 N. 6TH. STREET 1ST. FLOOR, SUITE E
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City | HAINES CITY
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State | FL
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Zip | 33844
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Country | US
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Telephone | 863-399-1623
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Fax | 863-576-5464
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE RODRIGUEZ
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Credential |
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Telephone | 863-399-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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Taxonomy #3
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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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