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General NPI Number Information
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NPI Number | 1902259229
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Entity Type | Organization
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Legal Business Name | CREATIVE MILESTONES SUPPORT SERVICES INC
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 311 N JOANNA AVE UNIT 143
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City | TAVARES
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State | FL
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Zip | 32778-0029
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Country | US
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Telephone | 321-439-6837
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Fax |
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Provider Business Mailing Address
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Address Line | 3407 HARRY ST
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City | APOPKA
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State | FL
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Zip | 32712-5856
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Country | US
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Telephone | 321-439-6837
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARMEKA PRESTON
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Credential |
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Telephone | 321-439-6837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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