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General NPI Number Information
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NPI Number | 1891755476
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Entity Type | Organization
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Legal Business Name | COMMUNITY DEVELOPMENTAL SERVICES, INC.
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2023 JOHN HENRY CIR SUITE # 425
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City | APOPKA
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State | FL
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Zip | 32703-3450
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Country | US
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Telephone | 407-766-5203
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Fax | 407-358-9427
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Provider Business Mailing Address
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Address Line | 2023 JOHN HENRY CIR SUITE # 425
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City | APOPKA
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State | FL
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Zip | 32703-3450
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Country | US
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Telephone | 407-766-5203
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Fax | 407-358-9427
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Authorized Official
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Title or Position | PRESIDENT / DIRECTOR
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Name | MR. ANTHONY SMITH
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Credential | B.S., D.O.
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Telephone | 407-358-9427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | F001
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License Number State | FL
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