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General NPI Number Information
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NPI Number | 1902729494
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Entity Type | Organization
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Legal Business Name | WHOLEPATH COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 08/01/2026
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Last Update Date | 08/01/2026
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Provider Practice Location Address
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Address Line | 3416 MONCRIEF RD STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32209-4340
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Country | US
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Telephone | 904-659-7643
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Fax |
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Provider Business Mailing Address
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Address Line | 10948 RIVER FALLS DR
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City | JACKSONVILLE
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State | FL
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Zip | 32219-5137
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Country | US
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Telephone | 904-659-7643
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NIA BEYAH
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Credential |
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Telephone | 904-254-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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