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General NPI Number Information
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NPI Number | 1881039543
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Entity Type | Organization
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Legal Business Name | TONEY ADULT DAY CARE INC
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 4406 NOTTER AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32206-6336
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Country | US
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Telephone | 904-355-2075
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Fax | 904-355-2146
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Provider Business Mailing Address
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Address Line | 4406 NOTTER AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32206-6336
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Country | US
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Telephone | 904-355-2075
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Fax | 904-355-2146
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JUANITA TONEY
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Credential | NURSING ASSISTANT
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Telephone | 904-355-2075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 261QA0600X
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License Number State | FL
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