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General NPI Number Information
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NPI Number | 1861149080
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Entity Type | Organization
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Legal Business Name | TRANSITIONS SUPPORTIVE CARE LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1669 MAHAN CENTER BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5454
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Country | US
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Telephone | 850-878-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 1669 MAHAN CENTER BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5454
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Country | US
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Telephone | 850-878-5310
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | KIMBERLY BAXA
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Credential |
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Telephone | 702-960-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical 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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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