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General NPI Number Information
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NPI Number | 1891133310
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Entity Type | Organization
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Legal Business Name | COMMUNITY SOLUTIONS, INC.
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1707 ORLANDO CENTRAL PKWY FL 32809
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City | ORLANDO
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State | FL
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Zip | 32809-5759
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Country | US
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Telephone | 407-855-0419
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Fax | 407-855-0422
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Provider Business Mailing Address
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Address Line | 175 ADDISON RD STE 3
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City | WINDSOR
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State | CT
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Zip | 06095-2179
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Country | US
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Telephone | 860-539-7745
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Fax | 860-683-7181
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. NATHAN RUSSELL PROVOST
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Credential | CPA
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Telephone | 860-539-7745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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